16430 SW MEADOWOOD WAY i
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16430 SW MEADOWOOD WAY
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City of Tigard Building Departaent P
13]25 aw Ball Blvd. Tigard. Oregon 9%723
Inspection I,ine� (R//ec-U-Phoneys 639-4175 unines. Phone: 639-4171
Inspecticn:_
Footing Plbg. Onderslab Meuh. Rough-in Appr/Bdwlk
Found. Plbg. Top Out Gas Line •IN11L,
Poet/Beam St:uct.. San. Sewer Framing -91dg.
Poet/Ream Mech. Rain Drain Insulation -plumb.
Plbq. Underfloor water Line a". ad. -Mech.
Data Requestedt ^7L, -2-2-,n w I - TimYt AM CL'`'' PM
Addresae ` ''I(r I�. '7�''` 1��k./lY.3/�YLId�,�/ permit,1[t
Builder: 1/ f L 6 1�- 05- l -�� Z Ub I
TIIE POI.IOM17�'c; CoRRE-. MONS ARF REQUIRED-
-'-.._-__-----._.._...
4
Inspactor: natat��_-
APPROVED DISAPPROVED APPP.OVFD SUBJECT TO ABOVE
Call Par R"insp.
City of Tigard Building Departsrmmt
13125 611 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-•I-Phones 639-4175 Business Phone: 639-4171
Inspection _--__
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
wound. Plbg. Top Out Gas Line FINALS
Poet/Ream Skruct. San. Sewec Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor stater Line ll Gyp. Bd. -Mach.
Date Requesteds _ �i� _ Times 1N
r
Addreaes L C� it }LO
Builders �L/K -�/ �,- ,7✓ _7 ��. ,_/ /r/
THE FULLOMINO CTIONS ARE RRQUIRNns
Inspector DateI V
1lPPROVSD flISAPPROVSD APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
IkS—MT OI! MCY ICE
city of 'rigard Building Department /jJ` `(� �
13125 811 Nall Blvd. Tigard, Oregon 97221 ! r 6k
Inspection Line (Re,z-o-•Phone)s 639-4175 Buf3ineae Phone.j 39-4171 l
Inspection:_
Footing Plbq. Dnderelab Mech. Rough-in Appr/Sdi+lk
Found. Plbg. Top Out Gas Line FINAL:
Flat/Beam Struct. San. Sewer Framing -Bldq.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater/Lino Gyp. Bd. --Mech.
Date requested: �� "l Time: -—
Address-
—Address: � U / / LVL��C/.rLn10-e Permit f:
r
Hullder:��/'i`C�1�
THE FOLLOWTOG OORRNM1OR8 AR/ RNQUIRRDI
Inspecto
APPROVED DISAPPROVED AFPRMIED S(1RJECP TO ABOVE
p ,-Call Por Rainsp.
NUTL WA�jW IV ! V
CITY"OFTIGARD M/OF�, RD BUILDING PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT MOON , ,ERMI + #. . . . . . . . LAUP9 --006:1
13125 SW Hall Bhd P.O.acm 23397,Tigard,Oregon 07223;60;11630-A176 �` f
- _._- _.-_ S39-41 - .. JJ • J G 1.
6I TE ADDRESS. . . : 16430 SW MEADOWOOD WY PARCEL: cS 1 14BA--10 700
SURD I I'I S I ON. . . . r COPPER CREEK STAGE, ` ZONING- R-4- 5
BLOCK. . . . . . . . . . . L..OT. . . . . . . . . . . . . :60
I REISS''E .— JFLC1012�ARFAi;—� ----_T_-r�M FxT,-:RIOR WAI.._L- CONSTRUCTION—
CLa.
,ASS JF WORK. 1�lI;w ad FIRST. . . . .. 143 S Nr S. E: W
TYPE OFi.aE. . . iSF' SECOND. . . : S PROTECT
TYPE OF CONST. :5N THIRD. . . . : s f N.- S. E: W:
OCCUPANCY GRP. :R3 TOTAL ---•-: 1 3 '.5f ROOF' CONST: FIRE RET': -
OCCUPANCY LOAD: BASE:MENT. r s f AREA SEP. RATED:
ST OR. : 1 HT. :9 ft GARAGE. . . r s f OCCU SEP. RATED
BSMT? : ME_ZZ? : RECD SETBACKS---------- REUUIftED- -_-_.__.__.__..__._..
FLOOR LOAD. . . . :40 wif LEFT": 1.6 ft RGHT: Ft FIR SF'KL.: SMOK DET. . :
DWELLING UNITS: FRNT: ft REAR: 15 ft FIR AL.RM: HNDICP ACCs
SEDRMS: LATHS: IMP SURFACE:: PRO CORP: PARKING:
VALUE. $ : 3500
Remarks : addition of si.1n roo61 only -- riot habitable sparse
Owner.- -....__._..____ _,___.._. _ _. _ _. .._._.._.___.______ _..__._.._.._.._.......__._.._ _ r'F_Ea
ALFRED TABAYOYON t amol.lnt by date recpt
16430 SW MEADOWOOD WY PRMT 4 0 .JLH 03/23/ 32 —
PLCK $ 28. 93 JL.H 03/11 /92' 224421
TIGARI) OR 97224 5Pr-'T $ ��. ,:3 JL.H 03/23/9P --
Phone #:
DAVID JARVIS BUILDING CO
87 ,o SW GARDEN HOME RD
PIMILAND OR 97223
PhOTle #: 503•-X45--917159 $ 75. 66 TOTAL
I�eq
RE OU I RED INSPECTIONS
Ti1is permit is issued subject to the regulations contained in the Foot/foi.lnd Insp ____,.___. _•_,.._.___._ __.._____..
Tigard Municipal Code, State of Ore. Specialty Codes and all other Fram i n cT I n s p ,_._
applicable laws. All work will be done in accordance with Rain drain l n s p
approved plans. This permit will expire if wo�h is not started Final Inspection _____ _ —•.. ..,____._
within 188 days of issuance, or if work is suspended for mere
than 188 days.
erm i t I-e e S i gn gat I.1re : Of
ss _leci F1Y
f,Wai l for inspection
ClITY 1,01 1IUFyRD RrCEIPT ul: PAYMENI I V F: IV) NO.
C147,CK AM')UN't 7 3
A mV, x JARVIl"j, DOVD) ro 1"AGH AMOUNT 0. 00
67150 SW 0AMAJ! HOME RD PAYMENT DATE
U rf 1)1 V.1.91 f ON
f-�'Okl LAND, OR /P23-
PUPPWA. Ot-" POYM:NT AMOUNT PATD tuRPOSL (")F' PAYMIN1 A M U Ill P ol.1)
PL;: 44.50 sl Dult. 1) (14"A G P3
16430 SW MEADOW001)
11:)"1 At PMOUNT P'ifl) Cl.73
C,OMMIJNtII' I)(Vh;L«PMI?NT UI;PAKTMf?NI 13125sw1 '
PLNCK RECT
1'0(1ox7-1397CITOr TIGARD rg °ERMIT #
rnl,Oregon 97v3
--
--
(303)09.4171 DATE ISSUED
JOB ADDRESS: /1V71 2 �����)P�YIlj'___.._ 1AX MAP/LOT • I /�r /39_/0 ,'u L)�
SUB: _ _ _ LOT: _ _ LAND USE:
VALUATION:
OWNER SPECIAL NOTES
NAME: LPA--AL�l d 14AYU�2V REISSUE OF: --
ADDRESS: LAST REISSUE:
— FLOOD PLAIN/
PHONE: 6 79g _ SENSITIVE LAND:
CONTRACTOR APPROVALS RE UO IRED
NAME: � AVly N�{/� llcOr��j /� PLANNING: Oil-
ADDRESS: q'7�K7 ��-� ��«!P�l / '� R� _ ENGINEERING:
A—il WW- 6L J -K-)3 FIRE DEPT: _—
PHONE.: J--)3 3 67�_'�4 59 _ -�_ OTHER:
CONTR. BOARD #: �����, EXP DATE:
ITEMS REQUIRED
SUBCONTR-ACTORS: PLUMB: __ LIST/SUBCONTRACTORS: _
MECH: _ _ __ BUS TAX:
ARCN ENGINEER CALCULATIONS:
NAME: _ _ � _ ______f_�^ TRUSS DETAILS:
ADDRESS: _ — — _ — _ ------- OTHER:
PHONE: -- ---- — ---- ----_
PROPOSED BLDG. USE: —_ _.....
_— __—
COMMENTS: —
APPLICANT SIGNATURE
Received By: Date Received: � L�
NL
PERMIT # ACC # DESCPIPTION AMOUNT AMOUNT PD. BAL. DUE
f -vu_�gf 10-432 00 Building Permit fees ,5c
10-431 00 Plumes ng Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5q) 1-27-3
Building
1.1 umb i ng
Mechanical
10-43.3 00 Plans Check Fee
Building .�b'•�3
Plumbing
Mechanical
10-230 06 Fire
30-202 00 Sewer Cinnection
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25--448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
2.5-448-05 Mass Transit TIF Fees
52--449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-44:,-C1 Water Quality (Fee in lieu of)
2.4-445-02 Water Quantity (Fee in lieu of)
TOTAL Z3,Jr -r-
7
nm/3587P.WPF
CITY UF TIGARD FiECEIVIT (-IF' r-,AYMF,NT RE",CEIPT NO. 440'.1
i-,H(-',CK AMnUNT n F-s. 9 3
jpf3V' c3 SUILDIM3 CO. CnSH �WOUNT 00
e 4Yl4rNT DOTF e 03
' C►Cli 1',:i'r� C `�`',ft� UW OARDEN HOME ROAD
-,I JBCl.t V IS ION
PORTLAND, OR
(JF POYME NT ()MOUNT FIA I D PURPOBE (IF PAYMFNT' AMOUNT i--,(4 10
ps. 93
r r�
1t,436 w3W Mr-_'pj)(jwW(-)nC)
TOTAL AMUNT PAID
ME:-*CHONI CA L.
CITY OF TIGARD D r,E:Rmrr 1111.1 PIF%*R III IT In IIEC90-01 67
a
COMMUNITY DEVELOPMENT DEPARTMENT PRIM. RMIT If. % MEJ"90 0 1.67
13 125 SW Nall Blvd. P.O Box 23397,Tigard,Orman 97� 0�1176
DA11 ISSUED: 08/13/90
1 U430 SW ME'.ADOWOOD V,A R C f;L..- 2S114DA :1 K/0 6
SUBDIVISION. COI PLR C R L E.-K Si I'A 6 E. 2 ZONING.- R-4. 5
191I.-OCK. LOT . . . . . . . . -.60
CL.ASS OF* WORK, ADD F'I_OOR TURN. . . , .. E".VAP COOL.F.*RS.-
TYPE, OF, USF_. sr UNIT VE.14T FANS. . . c
OCCUPANCY GRP'. l"k*3 VEHI'S W/o APPI.... V[.-.NT SYSTEMS-.
ST R I E S. . . . . DO I L[:_'RS/COMPRI' S)S 0 RE-3) HOODS. .. . . . . . -
1::'U 'I'Y F'E7 c3_......_.._.... '. .
0-1 DOMES 1IqCIN
3 15 HP. COMML. INCIN-.
ITIAX IIqj::1UT-. BTU 1511 3 0 HP. R E'PA I R LIN I'T S I
FJRE DAMPERS?. . « 30--50 HF'. . . . . WOODSTOVES. .
GAS '.j 0 4- HP., . I. . . CLQ DRYERS. I.
110. OF AIR HANDLING UNITS O*I'H[':.'R UNITS.
F:*LJRtq < 100K DTU- <!!- 1.0000 (:filln GAS OUTI-ETS.
FURN )=-100K BTU- > 1.0000 c,fnl-.
1:'enia-rP.iBz-
Owrle-rt FEES
AL_ TABOYOYON tX P e anIOMIt by date r e c-,1:)t
1643k*! 13W ME'ADOWOOD WAY P AY M $1 161180 JI-H 08/1.3/90
P K,IVIT $ 1J.". 00
TIGARD OR 91224 5PCIT $ 0. 80
VII-inne 0: 620-6798
Cnrlt-rac^tnl,.- ...................
0 1-3 H F:'A T1 N G
DIAL ONEL ACE--_ 1 CA-DINC3
1491.5 CSW 72ND
T*IGORD OR 9?224 0000
Phoi-ie 0-. 503-684-3355 16. 80 T OT()L..
Req 3i339
................... REAlUIRED INSPECTIONS
This permit is issued subject to the regul0ions contained in the Fl.naki Lvispecti.ovi
Tigard Municipal Lode, State of Ore. Sppcjalty Codes and all other
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 189 days cf issuance, or if work is suspended for more
than 00 days.
..............
.... ........ .......... ........ ..................
Tsisk.led Fly"
Call. fc)-r irispeeti(.iri 639-4175
.........................
_TTY OF Tlf:-)PPt) OF PAYMENT (,ECETFI' NO.
CJAEFJ� a4MOUNT
NA ` c ORECION PrIACIFTC: 7�T f,'A F CAS4A AMOUNT
'NT n
7"N VE P AYM E A TE'
SW Q A
1491
POP'T L. AND. 0P 7 4_.
r'UPTTP,,�')E OF F'A'eME-',Nl* AMCRINT PAID PUPFO'.33E OF PAYMENT AMCAJIAT F"ALD
XJ 1 7
PE, Mr, 0
4"] 7 .1, ST D 1) 1'1.P -90
64"..f.) SW MFADGWOOD
TOTAL Prlf.11.JtJT PA r.r)
r.v�urVt N _
CITY OF TIGARD MECHANICAL PERMIT
Permit rY
13125 SW FFALL BI,VD-
P- O- BOx 2 3 3 9 7 �7 Description CITY PRICE AMT
TIGARD, OR 97223
r U(v Table 3A Mechanical(503)639-4175
echanical Code _
-- -- -
(503)639-41 75 2��\�'�V0� t) Permit Fee 0 0 10.00
- —- - -- Name of Devalotxnenl-- -- 2) Supplemental Permit 3.00
-- IFurnace to 100,000 BTU
) 6.00
ID.eu 3 O 5�1 mea bUk! Li 1 incl.ducts&vents
Furnace 100,000 BTU + r
Tax L,or Map No 21 7.J0
incl.ducts 8 vent:;
Lot Block Subdivision —
Nincl.vent�°for name d business) 3) Floor Furnace G.00
MailingRttxta 4) Suspended heater,wall heater 6.00
Owl
_ or flour mounted heater
ler —
/ Vent not incl.in 3.00
citylsta1e ZIP 5) appliance permit
Report of heating, i / (;.00Name or name or b"rtess) 6) >1
cooling u absorption unit
Mailing Address Phone 7) Boiler or comp to 3 HP 6.00
Ocxupant absorp.unit 10100,000 61 U
Gryl3tate ZIP C1 Boiler er comp to 3 HP-15 HP 1100
absorp.unit to 500,000 BTU
Boiler or comp 15-30 HP 15.00
absorp.unit 1/2-1 million
N — 9 Boiler or comp to 30.50 HP 22.50
Mvluna Address Phone 10)
9/S-s,L �-6 J`y 3 j S� to 5. _absorp.unit 1 millionjil
Contractor ty/3 - ) Boiler or comp to 50 HP 31.50
tate
n� �3
up�2 L 11 absorp unit 1,750,000 BTU
State 12) Air handling unit to 4.50
islre No. City Bv: Tax No. 10,000 CFM _
,3/3 -3,7
13) Air handling unit 7.50
ovr
1 hereby acknledge that 1 have read Cris applicatwn that the U fomwtion given is 10,000 CFM+
correct,that I am the owner a authorized agent of the owner.that plans submitted are in
eorrW*ance with State laws,that I am registered with the State Builders'Board.that Ow,. 14) Non portable 4.51)
numbet qiven is eorrei.f.(It exempt fmm stale registration please give reason below) evaporate cooler _
15) Vent fan connected 3.00
to a single duct
16- --- — Ventilation system not 4.50
Included in appliance permit —
r Hood served by 4.50
�-7V 7) mechanical exhaust
Signature(owner or Date 18) Domestic type 7,50
incinerator
Describe work O addition alteration (-j repair (:1 _to be done residenti I non-residential E) 19) Commercial or industrial 30.00
-` type incinerator
Existing use of Other i.e.,woodstove,water
building or properly 20) 4.50
heater,solar,clothes dryers,etc.
Proposed use of -
building or property --- - 21) Gas piping one to lour outlets 2.00
Type of fuel- oil O natural gas O LPG O electric _
22) More than 4-per outlet
NOTICE SUB-TOTAL 6 ca,
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CCN 5%SURCHARGE
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 —
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AI ANY TIME AFTER -- TOTAL
WORK IS COMMENCED.
Special Conditions
_.- _. Uate issued__ by -- --
INSPECIVIIN NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 91223
,Phone: 639-4171
Type of Inspection C
T�ime ermit #
Date Requested .
P
Address
�Owner Lot #--
The following Building Code def iciancies are required to be corrected:
C-9
!Presented to Approved
Inspector Ll Disapproved
Date
CALL FOR REINSPECTION
YES FYNO
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INSPECTION NOTICE
City of Tigard Building Department
12420 S,W. Main St.
'Tigard,Oregon 97223
Phone: 659-4171
Type of Inspection "
Date Reque ted "A.M._____ _P.M.
Address �_—.! =( `ten '�4 / %�� rsr, � ermit
Owner ._-____—� �� •✓� Lot # __
The following Building Code deficiencies are requ;red to be corrected:
i---------
Presented to Approved
Inspector �'� _--- ❑ Disapproved
�? / -,
Date _.-__-- �---
CALL FOR REINSPECTION
FJ VES �j NO
BUIt-DING PERMIT APPLICATION TIGARD DATE— rebmary is _ 4304
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLAN`;AND SPECIFICr-TIONS OWNER PHONE,
LOT NO. O coo Eli tL►pk
OWNER ovi Hiller 31dr. JOB-ADDRESS 1'�`: ?".: Way
2'3550 q.W. Crahams rerty EN6HN >•nixhtR 11d7s Deainn
BUILDER --__ _ ADDRESS -- DESIGNER
STRUCTURE ❑ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR 0 RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
M RESIDENCE D COMM U EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY�_1_-3 LANO USE ZONE ft-711)-BLDG.TYPE _r.!�j_FIRE ZONE - PLAN CHECK BY i! HEAT., rn
----- Ccmostmet S4,n:*Ie FwAly Dwelling w/attached ral<rr;ge
see correction shoot ntt aehed. 3 ".3P.�Irgd"r9
SEWER PERMIT N
OCC.LOAD MR-11 FLOOR LOAD °'rte HEIGHT 1.j NO,STORIES I AREA 1421 NO.BEDROOMS I VALUE
BUILDING DEPARTMENT
SET BACKS FRONT IF PEAR I ti LEFT SIDE 11 RIGHT SIDE .
Permit _ 334.00_ ]THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
Plan Check 2 J'.1(' 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 551,10
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
13.1(. 1 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax I
-- SDC- 4+ ;)
Total 564.4A
PDC# I I Ii)O APPLICANT OR AGENT
By dinj
Receipt No.
Approved dHh - -
ADDRESS PHONE
PLUMBING A4T.E
DATE ININSP. REMARKS TYPE INSPECTION _
Contractor
315 1 -.-fes° 3 - -
�i� f Pei mit No.
Rough-in --- ------
.0 is✓�'�. �/�
Fixture -- _----
`� Final !_--
- HEATIIN,GII
+y lJ ContractorLJ�` "'N(_
7 ;7 -- --- —--- Parmit No. lei
Gar or Oil
804 h.'
"- — -----�-- Final
SEWER
--�- Final .�'4,;1 ti
�_ -- DRIVEWAY
Final
Storm Drainage
--- — (Rain Drain)Final
— - ---T Sidewalk
Curb&Street Final
- — -- - --- Approach
— -- CERTIFICATE OCCUPANC �J BLDG. DEPT.FINAL TEMPORARY Final
]CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
. r
j
ii
BUILDING PERMIT APPLICATION TIGARD DATE.
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS
`P,L,ANSS AND SPECIFICATIONS. OWNER,PHONE _
OWNER � I Y�*Y-8Iki SOB ADDRESS��`T � .�l Vtl A y}.. woo LOT NO.
7 s�v S W qr. A 400rpV'f� rt£t3T �C0 v
BUK-DER ADDRESS iowrODESIGNE1(1,,tp U4,
STRUCTURE NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY R`3 LAND USE
�ZONE R-2Ek BLDG.TYPE S N FIRE ZONE PLAN CHECK BY HEAT
;ZLIT
_SEWER PERMIT k — r
OCC.LOAD FLOOR LOAD HEIGHT !.7 NO.STORIES AREA NO.BEDROOMS VALLI .300
BUILDING DEPARTMENTS 9
SETBACKS FRONT I�� REAR � LEFT SI�CE I RIGHT.,IDE
Permit 3.1 y.00THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TFAT TPE
,Plan Check ( 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
Sub-total �� �0RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
'r) LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Mate Tax
Total . 4(p � _ _---
PDC# APPLICANT OR AGENT
By
—' Receipt No. ---• - ---
Approved ADDRESS PHONE
soc a 0
P D_C - S T
SEWER CONNECTION $ 2�_
SEWER INSPECTION $ 3
r
SEWER SURCHARGE 5 _
toAt
16430 Sw Ali
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