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CITY OF TIGA RDWF.::RM:ET NO . : 1331-0391441-5
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COMMUNITY DEVELOPMENT DEPARTMENT
13126 S.W.Hall Blvd..P.O.Box 23397.Tigard,Oregon 97223.(503)6394175 PRIM PMT .NO 69 1/-115
,JOB ADDRESS - 9 P 2 5 !:jW MVILEI EAI`r 5 T LT
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TOTAL. AP1116 :
NO . STORIES :1.5 T : ROOF* GUNST : F-11'.PE PET7
RISID: ARE.A SEPAIR"? PATED :
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PERMIT *1r-' o(I
w 1.0300 mw qr*�anbur��j 1--d PLAN PEUIEW
TN 111:'IRE DEPT
E 197 2,P3
R PHOW:: 245-94100 STATE TAX
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I I('TTAL: 11111115 .75
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PE.CEIPT NO.
This permit is issued subject to the regulations contained In Title 14
of the TMC, State of Oregon Specialty Codes.zoning regulations QUI RF-'D INSPECTIONS
and all other applicable codes and ordinances. and it is hereby FINAI
agreed that the work will be done in accordance with the plans and OTHE-Pill!
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void it work Is not storied within 180 days.or if work is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
CAPPING
Permittee Signature
ALL. FOR INSPECTION 639-413.75
111SUed By SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE