9817 SW MCKENZIE PLACE 9817 SW MCKENZIE STREET
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BUILDING
PERMIT APPLICATION TIGARD DATE—_ _ 7�--. 19 r>O 3144
THE UNDERSIGNED HEREVY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONEOR AS SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICATIONS. OW NOR PHONELOT
OWNER 5t_.Anttw!:y LhUrchJOBADL9ESt 901 j SIJ I`7c►tiH.jzia Str3GtARCHITECT
ENGINEER
ADDRESS DESIGNER
BUILDER
A
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STRUCTURE D NEW ❑ REMODEL _O_ ADDI-ION ElREPAIR EDRENEWAL_ ❑ FIRE DAMAGE X MOLITION
EX RESIDENCE ❑ COMM ❑ EL'UUATIONAL ❑ GOV'T n RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _ LAND USE LONE _BLDG.TYPE FIRE ZONE _PLAN CHECK BY _ HEAT---.---
Demolish and r.eMva all debris frcin site. Locate sower connection
at nrpflerty ling And cap in an st prmanne,r. -- ----
S_EWF.R PERMIT#
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA NO.BEDROOMS _ VALUE-,---
BUILDING DEPARTMENT SETBACKS FRONT SEAR LEFT BIDE RIGHT SIDE
Permit 6110.01) 7HIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONIN 3
REGULATIONS AND ALL APPLICABLE CODES AND nFIDINANCES AND IT IS HEREBY AGRFED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS A":D SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMI" DOES NOT WAIVE
Subtotal _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATINP.
State Tax •40 R _..
SDC -.
Total 7) PDC# APPLIOANT OR AGENT
By P1 r
Receipt N0.
Approved 11 F
TLI — ADDRESS
DATE INSP. T:IPE INSPECTION REMARKS PLUMBING DATE
`- Contractor
--_ ------ -- - -
Permit No.
Rough in
Fixture
Final �-
-^ --- ---'- -
HEATING
Contractor —
-— Contractor
- Permit No.
Cas or Oil
-- — Rough-in
` Final
SEWER
---- -- Final
_-- -- - 9RIVEWAY
Final
Storm Drainage
^— (Rain Orain)Final
--- - ---- Y--- Sidewalk
Curb tk Street Final
---------- -
Approach
B.OG. DEPT.FINALT TEMPORARY CERTIFWATE.OCCIPANCV Final
CERTIFICATE OCCUPANCY -- -- - -"'
Landscaping
Zoning Final
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I1 1 ry DATE _ .
BUILDING PERMIT APPLICATION ....��; My � �� t9S1C/PHONF _.
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INpICA f EO OWNS BUILDER -
OWNER PNONEJ(L�1`�.y%•F-9-
OR S S O'�:N ND A VED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS LOT
NNE R AFCNI t ECT
EN1.iI'JEER
DESIGNER
ADONESS ..._—__—.. -. _...._
.ILDF_R _rw-T-_ - ---- —
D�-1 0 O
rRUCTUAE [ NEW- _�Rk''ArTbEL
❑ADDITION •-._ _ LJREPAIR ❑RENEWAL 1aFIRF DAh1AGE _.-...�._MC�I � � ry
M_ k
L JIiOV•T C�RFLIGIOUS[]PATIO OCARPIJHT ❑C,A✓aoGE
aESIUENCE I�CV.41A � I L� '_..r � .. - --......._ ._ _
HEAT
FIRE
ZONE_;- _ FLAN C'+ECK Y.....__
CCUPANCY ;LAN1J USE LONE;.- .. ____IjLpG- TYPE -
I• HEIGHT
NO SrOR1ES AREA
-� E L,-1 ti0 9Ef)RQQMS._.
.. IQ:�A _ ..:.
REAR LEFt SIDE
- FiIGHr SID_
BOILDING DEF'APIh/TIT "CKS F4C-'JT - - c
�2rrrTlt 1 `-�- �y 1 i• PERMIT !S tS.&LIED SUBJECT TO THE REGULATIONS CONTAINED ,N THE BUIL DINfs r:UDE
51on ChrCk J GL)LATIONS AND ALL APPLICABLE CODES AND ORDINANCES AND IT O S AND I ('OMPLI THAI i
_ ,RK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE V4111-4
IV
pub total � .�' L APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT W IV+'
- - STRICT IC COVENANTS. CONTRACTOR ANO SUB CONTRACTORS TO HAVE CURRENT Cl?1' AUSINFS`
S --Tatr Tax -J'--apw � � ':SE SEPARATE PLHMITS REQUIRED FOR SEWER, PLUN9ING AND HEATING.
- _1r, —
- —• . O Oct I u
Total /i =--f ' DC
ByI 7 ApoL CANt Op AGF.NT
Receipt No -•-
App oven
Scc ._--
PDC - -- - --
SEWER CONNCCTION
SEWER IN5PLO ION $ --.— _-
SEWER SURCHARGE- _ -
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