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12501 -12519 SW MAIN STREET .. ac =e .aira,as-7-nmair 125u1 — 12519 sw MAM STREET tn c 3 ul m .-1 U7 N 1 M u� N .-1 i EIVwAw w ( w w w s Permit No. SP 89-52 CITY OF TIGARD SIGN PERMIT APPLICATION The applicant hereby applies for a permit for the work Indicated or as shown in the accompanying plans and specifications. SIGN LOCATION ADDRESS: 12519 SW Main ZONING: CBL NAME OF BUSINESS: Main St. Cleaners APPLICANT/AGENT: Jeff Yerke COMPANY: Sign Craft PHONE: _639-4910 The City of Tigard imposes an annual Business Tax which must be kept current, on all persons doing business in the City. Do you presently have a current Business Taxi Yes (XX) No ( ) U.L. Label # m—:-----_r-_-----mssae.es-az:v------a--,tris-Www-s-a--.eua--•raex---s-----a—aa ------acar a:cs "ROPOSED SIGN: (Check as many as apply) PERMANENT (X ) FREESTANDING ( ) FREEWAY ( ) TEMPORARY ( ) WALL ( X) ELECTRONIC ( ) OTHER ( ) BILLBOARD ( ) BALLOON ( ) SIGN DIMENSIONS: 3' x �1' , EXPIRATION DATE: TOTAL SIGN AREA (Sq. Ft.): 63 WALL AREA (Sq. Ft.): 1140 sq. ft. WALL FACE: HEIGHT (ft): PROJECTION FROM WALL: —T-TYPE ILLUMINATION: YES ( )NO— X TYPE: COPY: "Main Street Cleaners" MATERIALS: —_�7-. yro oam EXISTING SIGNS: roosiynJ� ADMINISTRATIVE EXCEPTION: N/A [ ] APPROVED HOW MUCH X AREA ( ] HEIGHT [ ] CwfMVNTS: ------ _ r_x-__-•-ascan¢ax c-sass=--an•..=.__a aa--zaa--asaaxcxa ss-a.s-_— �.._____ PLANNING DEPARTMENT All sign permits must be accompanied by a scale drawing Permit Fee:— '� �- and plot plan. If work authorized under a sign permit Receipt No: 103442 has not been completed within ninety days after the Approved By: J. Ottery issuance of the permit, the permit shall become null Date: 4-13-89 and void. ELECTRICAL, PERMIT I CERTIFY THAT I AM THE RECORDED OWNER OF THE PROPERTY REQUIRED: YES ( ) NO (X ) OR AN AGENT AUTHORIZED BY THE OWNER. BUILDING PERMIT -- REQUIRED: YES ( ) NO (X ) AppItc&nt'.s $i�(atjire Address Telephone Permit No. SP 899-53 CITY OF TIGARD _ SIGN PERMIT APPLICATION The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans and specifications. SIGN LOCATION ADDRESS: 11.2.5.11-1 SW Main St. ZONING: CBU NAME OF BUSINESS: Main Street Ciewr,ers APPLICANT/AGENT: Jeff Yerke -_ COMPANY: Sign_Qraft __- PHONE: -639=4910- The 6i9491nThe City of Tigard imposes an annual Business Tax which must be kept current on all persons doing business in the City. Do you presently have a current Business Tax? Yes (.X ) No ( ) U.L. Label # _ -� et--U----=--=----z�s ztriz=z:.zassz s a zs�tzz sszs-zssta-aszszss:ssswerssszsszasse----+s ssssszzs ss szs T�TOPIi:.,F:D SIGN: (Check as many as apply) PERMANENT ( X) FREESTANDING ( ) FREEWAY ( ) TEMPORARi ( ) WALL ( X) ELECTRONIC ( ) OTHER ( ) BILLBOARD ( ) BALLOON ( ) SIGN DIMENSIONS: 1.5 x 12 ft. -- EXPIRATION DATE: TOTAL SIGN AREA (§q-­. Ft-5: 18 sq• ft_ WALL AREA (Sq. Ft.): 975 sq. ftp WALL FACE: south HEIGHT (it): n7a PROJECTION ILLUMINATION: YES COPY: ""lain Street Cleaners" I.ATERIAI.S. �T eavy--c uty styrofoam -- --- �— —� EXISTING SIGNS: - "-- —,— __-- — ADMINISTRATIVE EXCEPTION: N/A �Xl APPROVFD ( ] HOW MUCH_-_ X AREA [ ] HEIGHT [ COMMENTS: r.ss-acsxxa=a-as✓:-:srr:aa-aase<s zesa;r-rrr+tom^=i.es-r-a-zs-s—aa:.:a-.:s:asa:sze:cz..._xz-aa-ossaxtazt sz;zva-x•=a PT.ANliTNG DEPART,0'.N'C All sign permits must be ncrompanied by a scale drawing Permit Fee ?:_*,- and plot plan. If work authurixe�i under a sipn permit _ -_ - Rl!_ceipt No: 103442 has not been completed within ninety days after the Aprroved By: 1. Offer�� - issuance of the permit, the permit shall become null Dete: 4-:13-89 and void. FLFCTR;CAL PERMIT 1 CERTIFY THAT I AM THE RECORDED OWNED. OF THE PROPERTY RF.QJIREn: Yr.S ( ) NO (X OR AN AGENT AUTHORI7.ET) BY THE OWNER. BUILDING PC;, iL'1 �,/ .'� -/•—_-___-•-- - REQUIRED! YES ( ) NO (X Applftcant's, Rrtjtu e 7 X'11 Address rl�p Orip ti. ro-7 ),)n/nn,)/:1r) kp 7Z LL - LU 00 LL tn Cf) o c w 40 0 > Vll 0 CIO .1 VJ cw��I - = 4A w 00 CEW rt cc i�- I I L--- V9 'A o i 1 ' i f i y ►: CITY OF ll(,t4PO Rr---CF)I';"T OF REC NO: Ll(.)1('Y5I44A` otioutir 6(j. 00 N A M F.. 3 1 ON CRAF T API(JLIN,r .00 ADDREG'-')n 90,33 SW r-,,URNHAtll PAYMENT DOTE-'' c 04-1-5,—qQ I WARD, nf-'.' 9i 12 2`3 FJ-!f:-'P0SE OF F'AYMENT AMUW41 PURPOSE CIF I'AYMENT ill,101,011'r P010 'T''I T T'�',) SIGH PFPMIT FEES 00 Ph 12519 BW NAIN S7 ( -1 PERMITIS) 16-200 SW FACTFIC HW Y. TOTAL. AMUUI Irjl F,,wJ.j D 60. 0C) INSPECTION NOTICE � / City of Tigard Building Department 12420 S.W. Main St. / Tigard,Oregon 972230 Phon 39-4171 -o 0-14,J.S L - Type of Inspection — V__ -14 Date Requested���y f r�__�__ Time `� A.M. P.M. Address ,L✓ � �----___- Permit #--- Owner Lot # Builder The following Building Code deficiencies are required to be corrected: - ------------ I Presented to -_-_ -- -- -- ---_ _ ,Approved Inspector - _ -__ Disapproved Date -------- - �,— CALL FOR REINSPECTION ❑ YES [:1 NO SIGN PERMIT APPLICATION SOF TIGA.RD '�nsaz ''� `' 0"1 �-- Date _ y 19_ No. The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans arld specifications. SIGN LOCATION ADDRESS: ,,k 0"14 Main C APPLICANT: Own�� Lessee .` Authorized Representative NAME/COMPANY 3 .� _-. Tel. W54- _ r PROPOSED SIGN: Fre standing Wall Projecting Other _ SIGN DIMENSIONS 2 x AREA " ` HEIGHT WALL AREA PROPERTY_FRRNTA _ __ COST ZONING DI,�TRRICT L.Llh�IA N!{►�� MATERIAL:+int. a.rrc _ _- _._ COL OR reliow w rec c +rs COPY vub 5hoae#33. celiverv, LeleLdione ;# _ —DRB _ EXISTING SIGNR• Freestanding Wall Projecting ___. Other _ none COMMENTS: All sign permits must be accompanied by a scala drawing and plot plan. If work authorized under a sigh permit has not been completed within ninety days after the issuance of the permit, the permit shall PLANNING DEPARTMENT _ become null and void. Permit Fee 10.00 Approved Keith Applicant's Signature Receipt--No. __—__ F 7_ t Renewal Date Address Telephone SIGN PERMIT APPLICATION OF CIT TIGARD Date �f�t1�a"�� ' , 19._ The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans and specifications. :SIGN LOCATION ADDRESS: _ 12501 SW tlaara APPLICANT: Owner__.. Lessee xx Authorized Representative NAMEXOMPANY Tel. PROPOSED SIGN: Freestanding Wall __._ .__ Projecting .Other SIGN DIMENSIONS _L AREA _., - : - HEIGHT WALL AREA PROPERTY=Rf NTACE �__ COST _... __. ZONING DISTRICT 4�v ILLUMINATION a "� IVIATERI,�)th as NTA _ COLOR _ s'�'11ow wired 1� Black lette COPY RIM'� * MV4 DRL EXISTING SIGNS: Freestanding Wall _.._ Projecting Other COMMENTS: All sign permits roust be accompanied by a scale drawing and plat plan. If work authorized under a sign permit has not been completed -- within ninety days after the issuance of the permit., the permit shall PLANNING DEPARTMENT bee ma null aird void. 10.00 Permit Fee Approved Keith Applicant's Signature _Receip No.___ _ Renowal Date `_ Address ��� � ��:_� Telephone I N I �J uJ }.J cQ � r Nil vi w a Q ti Q ti i � 3 w i J U _ M p fn z � co © LL oLL r- Fr © r U 41 a- W L" W L� I � � i r CITY Of I IGFNRO Code Enforcement Action Request Complainant: �,� 1 1 yA✓,.� _ _._,_ _ Address: Phone No. : Date Received Complaint: Business lax _ Open Storage of Junk Noxious Vegatation _ Noise Hazard _ Dog (Animal) Sign Filling (Sensitive lands) Other Explanation: C • i_, 1�, �. ► r �')'�,�Z`{y, w L� Location: / ti Tax Map: Tax Lot: _ .,► ..� C Action. Z2 Code Officer: (t068P) MY Of TIGARD G( � � Code Enforcement Action Request Complainant: Address: Phone No. : ..Date Received � S Complaint: Business Tax Open Storage of Junk _ Noxious Vegatation _ Noise M Hazard Dog (Animal) Sign _ filling (Sensitive Lands) Other Explanation: Ji., �� ��•t. , tr / Location: Y1 ACV- Tax Map: _ Tax Lot: Action: Ur, i C. f �J Code Officer: �1,�� >,JNANCE ASSOrIATES ,� BUILDING PERMIT APPLICATION TIGARD CRATE-_ _-___�����______ 19,81 3661 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT I.OR f HE WORK HEREIN INDICATED BUILDER PHONE: __648-42.91 8'4291 OR AS SHOWN AND APPROVED IN THE ACCOMPANY ING PLANS AND SPECIFICATIONS. OWNER PHONE_ OWNER LtUle��t LOT NO. & E�urttIJPADDRESS 1ia01 SW Mein Street Redmond, - 97760 ARCHITECT ENGINEER BUILDER Wendell Back ADDRESS Rt•1,Box 363,TerrebonnESIGNER Owner STRUCTURE ❑ NEW A REMODEL ❑ ADDITION U REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION I RESIDENCE X] COMM Cl EDUCATIONAL CJ GOVT ❑ RELIGIOUS ❑ PATIO G CARPORT ❑ GARAGE ❑ STORAGE Ll SLAB❑ FENCE OCCUPANCY LAND USE ZONE C3�1' BLDG.TYPE 5N FIREZCNE--s PLANCHECKBY _ dWh HEAT ec. —. isem1181out Far Insurance Co. , all per plane and code. No plumbing or mechan cal. SEWER PERMIT# OCC.LOAD FLOO9 LOAD 50 HEIGHT---- NO,STORIES 1 AREA 1750 NO_.BEDROOMS "— VALUS 3,000- -__BUILDING DEPARTMENT SET BACKS FRONT �_REAR LEFT SIDE RIGHT SIDE Permit $24,00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN T4E BUILDING CODE, ZONING REGULATIONS AND ALL APPLICAELE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan C�*,eck 12.00 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Subtotal _ 36.00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND H_ SATING. State Tax 4,1 •96 Total 36•96 PDC# APP ICKN 01--i - b -By, --- -- Pl Approved dwrt, Receipt No, �t�1 ADDRESS PHONE--- --- _--- - - aw �. DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor Permit No. `- - -- Rou h-in g Fixture _ Finsi HEATING Contractor Permit Na Gas or Oil —_---- -----.....__.. Rough�in — ---- SEWER Final DRIVEWAY Final`--_— —_—_ -- Storm Drainage (Rain Drain)Final Sidewolk Curb&Street Final Approach 6 _ LDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCWA.NCY —v CERTIFICATE OCCUPANCY Landscaping �I Zonir j Final .N . 4` os ��. elj,jot L.uq,c►�j�SToR• ExIT NSW i • tVk N6��1: fir) , ._ t 0141 C 0- 1 Z '• ` D a e EhJG -No'.7 u +1 I i r 1 � i j APPROVED FOR CON,91-N,ICTION t i CITY OF TIGARD s Q tGy.. PERMIT Nth.3�6'� SITE` ADDRESS ^moi,•, , ;, BYE _ _TITLE__..__ 1 . _.t .. t 1 J _ 1 - i ' r a awl PIS BUILDING PERMIT APPLICATION CITY TIGARD DATE "IcJvl�rk':�t � ` 1 T THE UNDERSIGNED HERESY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED !N THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNIERPHONE Tigard CleenerE, II in fit (art LOT No. OWNER Inotm2flCu (15tOU'l-'s JOB ADDRESS Joint .12501 �� 1�� ',;;:.I HOME ADDRESS I ftRCHITECT ENGINEER BUILDER Same ADDRESS � �I---11 _ DESIGNER _— STRUCTURE ❑NEW _ ❑REMODEL ❑ADDITION [9REPAIR REPAIR _ RENEV% >L [:]FIRE DAMAGE ❑DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSQPATIO ❑CAR PCiiT [:]GARAGE [I STORAGE❑SLAB []FENCE ❑BOND MO NG ❑CONDITIONAL USE ❑DESIGN P VIEW ❑COUNCIL APPROVED_ []SIGNS FIRELON[�_. PLAN CHECK BY HEAT OCCUPANCY LAND USE ZONE__tib�� .BLDG.TYPE ^_ —_ �nrk `autJ arrfatce and j�ayg parking area inetell wiry: f0llt:fosl �:rT(! t() Cont T. Al traffic. _ --- - — -- "LIDO uC(._L4A4_ Fl.4S2Bs2A-Q P�E� AREA BUILDING DEPARTMENT SET BACKS FRONT REAR _LEFT SIDE — RIGHT SIDE Permit ------ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE --— WORK WILL BF DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND 3UB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax _ — 3 L LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING. Total 0*30 BY tT _ q Q� iCANT OR AGENT Receipt No. 1547: F[ Approved ta( p - - —_ -___--_ - -- ADDRESS PF1nNE _-,.,.,.ori,.••.+�.r..•.........._...........,.....w....as..•.L.:..,._..... - -�..e.....,.....,.....W.,.�...�+,a«.ra.,ui«..:..,-, aia r aaa � as aaI< aai _. .__...._.._-._�...,_.............:....._.ice OATE INSP. TYPE INSPECTION REMARKS _ _PLUMBING DATE �- '77 .� _ _ Contractor I Permit No. + Rough-in Fixture Final HEATING Contractor Permit No. Gas or Oil Rough-in Final_ e � SEWER Final DRIVEWAY Final _ _ Storm Drainage (Rain Drain) Final Sidewalk Curb&Street Final BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICAl£OCCUPANCY Landscaping Zoning Final l Cj �I I ZZ ►I- > W o F- t uZ ~ 3 < z u' 5 � II wl" QOm _ > U OUww _� ? r a �nU L u J w O z w u) ut S < O 7 Vc U y u E.I �� > n > 7 w J > — H � W O C7 C7 S �Qu � 27 O O I Q 10 Z ¢ U V T O ¢ Wwau, w2 ° a Q w < F = Tvia > F w O0 u w — O -• iu, z J N Q r I > 2' `, r T. 0 vn1 C) ru ` Q' ' 1 L� O V F O Q -C 1. I ul 01 Q Q I z_ z C) N r� < < m w aNwu, d� 2 -' H ' zu, F 0. 0 Q �_ � J X71 z w ut OZOddm O F �� < [ �� s ► UQ2 F a ` U u t r i �1 I U r u z2 Q � 2a ' t 7 F C I Q V -� OLLI n z v 7 O V ¢ O ° eLnJT w w 0 a OZw I fj ef I tm1`. C = Ll U w w UJ n ~ tui, 2 Y �' Q C-� >� 1 O LLJ Q � u T Q `L ` O 2I N 2 ZOy� 700 //'�'1 O to d H U u _ z In {ILI....1 a F 7 u.. <I u� w0 V w Q O ¢ u)l O � U2t, In U1 a V, � Q y Q 0 j W w r < < wW a In M w ¢U ¢ 20n O F ,A p _Z pI CI , ¢' aQCU � d 4 LL Q U 0 yQQNN3 V T w u _, _, wF ¢w F z ui O , ZC) 7w ¢ 7 I rt u, O Qw07n _ C) U �' u, j �� yn2 wF Q 04 w C O [ 7 F U� H70w > � C) <L U • Q F 1 C7 v 5 NQOm � C. Q > Q C! u l F 2 ci d w ti CC) w I O ZO a \j ti OAU > y o C7 NF \ - [ I F cr UI jQ � uaUu: 1 4. w Q' ° Jy < 7 U CL. a 1 <) o wl r o ,LL v R au �' o [ 1 V e : D H0Q Q > > Cl) O a } F u, u F " a UJ [ 1 0 ul r' u, l7 w O �. tl ) w 7 ° �) > a E o z Q Z i O a I c d [` W U; u c n rn u L? v z LI Q 7 o'I OI 2 7I 2 Q Q? ► t ti V C17 F U C.1 c� u rm 7 - E C, 0 N Qc' l II C) I ► _m avi p > OAID CITY OF TIGARD jull 1970 V/ APPLICATION FOR SIGN PERMI7rITY OF TIGARD L4 ()WM171p . 77;A j11 PP.RmTrr, mn_ DATF YA ADDRESS /..:14 LUE d RERMIT EFE I. c' TEL, NO, t MANUFACTURER ADDRESS - Lk I cI TN�=�Ng BF011TRED R T rry ADDRESS FOOTING L�-NO PTNAT, MEBY MAKES APPLICATION TO ERECT -,PPCTAT, TNEORMATTnM ALTE R REPAIR rl, T)1, f �19 SIGN PROJECTING POLE COMBINATION PLOT P�AN GROUNDSJOW Offff—MEOCATION MARQUEE gonp F:T.I.-[,Tg C TEMPQRARY f 11RITUHT-TOP ET- HrTc.Hrp-nri,j,T()t4 AREA PROJECTION FT. 21 QTGN rpC)--BE F--A-ST NED AND RMIRED BY ApPBOyLD 2.1!DRTS AND IT IS ITEREMYvt —AGi�EFJJAT TE THIS APPLICATION Tq wTr.T. f-nmr()Rm Jbi EVERY DETAIT. WITH THE REQUIREMENTS OE volmmp Vp 11RC, Ic)fi7 — RI)T'I'fnN ANf) .Tlll-. 3 ()F Tur CTTY TIGARD-- -....­SlGNAZURL,-()E PE,RMITTEE. fly A PROVED CHIEF BUILDING OFFICIAL Bl' i I f I Address :3 4!��`�t rL_ Permit No._._!i Name of Occupant L Permit ch rge --`— Caaaeeoen4ee l' D Paid by Date connected Type of Building_____-55�L Inopection fee_ Service Rate 30 _— Paid by Contractor_ �'7 tD Aseewment Paid Size of connection INSPECTION NOTICE City of Tigard Building Department 12420 S.W. Main St. Tigard,Oregon 97223 Phone: 639.4171 Type of Inspection / — Date Requested1 ?��-^'_ Time--A.M. P.M. / ESD/ _ �//�i'cLc-►� Address 2 _ Permit *_Ws Owner Lot #_ BuilderThe following Building Code deficiencies are required to be corrected: L_lr- ,�-- JA LAJ Presented to _ ryproved Inspector -----_----__— - [_� Disapproved Date CALL FOR RFUNSPFCTION C] YES U NO i - _ , :. . • . . . . . . • . .. - ;�-mss^ �;:: Ass BUILDING PERMIT APPLICATION TIGARD DATE 19 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONEP--_ OR AS SHOWN AND APPROVED IN THE ACCOM-PANYING PLANS AND SPECIFICATIONS. OWNER PHONEG��4-/�/moi O:VNER B�L"leo+4 bw-4L'`JOB ADDRESS �, LOT NO._ ARCHITECT J 'I ENGINEER BUILDER � � ADDRESS .I • �` TWvsloa►rM DESIGNER C.-'Wil Qr— STRUCTURE ❑ NEW REMODEL ,❑ ADDITION e. RMAIA RENEWAL Cl FIRE DAMAGE ❑ DEMOLITION ❑ RESIDENCE COMM ❑ EDUCATIONAL D GOVT Cl RELIGIOUS Cl PATIO Cl CARPORT ❑ GARAGE ❑ STOR E ❑ SLASO. FENCE C'C i UPANCY -?---L 4ND USE ZONE C--ldBL.DG.TYPE ��FIRE ZONE "' PLAN CHECK BY HEAT SEINER PERMIT 1/ OCC.LOAD FLOOR LOAD HEIGHT I NO.STORIES 1 AREA/J NO.BEDROOMS -I"'•• VA_LU Q �0 — BUILDING DEPARTMENT —� i SST BACKS FRONT REAR LEFT SICE RIGHTSIDE ""•rmit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE EUILOING CODE, ZON:NG I f REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AG%+EEU THAT THE mInn Check `�+ WORK WILL BE DONE IN ACCORCANCE WITH THE PLANS AND SPECIFICATIONS AND IN CO;nPLIAnCE oo WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PER?/IIT DOES NCT WAIVE +Subtotal _ ?�/ RESTRICTIVE COVENANTS. CONTRACTOR AND SUS CONTRACTORS TO HAVE CURRENT CIT-f B6SINES4 ILICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. :S tau+Tax I SDC_. Total — �(y, _ -�►` PDCU APPLICANT OR AGENT By _ Receipt No. Approved ADDRESS � PHONE SDC . PDC s — SEWER CONNECTION SEWER INSPECTION�___�%______ SEWER SURCHARGE S i i /V Address�! �1fPermit No. Name of Occupant Permit charge Paid by j Date connected Type of Building—_ _-1J ,t"� Inspection fee Service Ratey Paid by Date Contractor _ Assessment Paid Size of connection i s pftm639-1126 WM. H. "BILL" BURTON .�Aesa+�we .G�crwlnt, .�,ee. 12501 9W MAIN STREET TIGAPO OREGON 117222 POST GRACE SOX 22225