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12647 SW SPRINGWOOD DRIVE �— 12647 SW Springwood Dr. 7• e r NEWE -Rr- PF. �••A,.a pia � ��.,����.a"�-, �`y+.gni �."�'/� -.;. 1/.,a,*_�� .��� ,A,.,/��:���'�i—, � �- ��_ i + 'wii� 4k SV:+ ;rte •-S �Y .."�_ 'C._ Tr"a..:i >. {"'``� 'R a. '•C...."S.t '�.tp'- ;' �.G ` �i 4 � •d,��,~�iN;:��'A F,�S1,' - ��i �R� r. 1•���il�a��'}�� �gtl� �r f�,�� 6V1 'Wy .r' � '+.. ;.,A'�' �y }1 - ,`AIA►` A- �Rt�� +N. ",ti f; ICATIE OF OCC= CITY OF TIGARD OREGON Owner: iorissettePermit �n r Nn---8s31731 !address: PO 3px 1924 ort 1 anr3 Q, o� 1 lld'' BI-Iilding:address: _l Occupancy:_ R-3 Land Use Zone: Bldg. Type_,ty E• Comments: . ` Certifie- to is hereby given this ��rh day of Marr-h jg�� • .': _ J- - Mi`I that said building may be occupied and that it complies with a requirements P all re q nts of the Building Code for the City of Tigard, u3 approved g by the Tigard Ci g � g City Council. Fire Dept. + r It Building Off iciai r, x -)st Certificate in Conspicuous place ` ffi }". : .. ._ ! !}.a!: tlfl► q��yt ` `A.:�"� �Ir#6�� C�1#�,1`�'` 3. t aft iR' `^5fF -..t. r• ' _ `x•.yr '�, '''• ' %Wil I I I -t, � - �'''-.;�`�� I�� - ' _ t Fr ,i .:.$`�1►`� k�x,.,.g`S�f�jt ��.�:�th�,�'"�4 ;��ryY�� ��,; / , E OF OC T� C VP T ` L cro � C -�' rIGARD � : �"Z•�,� REGO N F sOwner: Don Morisse`to _ Permit No. 881731 Address: PIQ Box 19524 Portland. Or 97219 6 p ciwood Dr. Building Address: _12 47 SW S riri Occupancy: R-3 Land Use Zonc: Bldg. Type- 5N Comments: ' Certificate i-i hereby given this 14th _day of Yerch 19 89 =` k' that said buildL-ig may be occupied and that it complies with all �1 " r uir:,men f e buildin Code for the City of Ti and as approved � eq iso the g g � PP _F by the Tigard City Council. t?4 Fire Dept. ----3BuildingTns is Building Official r _ • ;rte- Post Certificate in Conspicuous Place ; SUR QM14 �* �.a,�►+�; "7J� 1�'^ 'ti?!: .,..c�'xx. 's'�,- $�' E 4� ' :+.-. �R,.� t'. Mil :,>= ?•R• ?r '�, �t vim• .ew. t.. v .'-�/d_ �-"a yyyy INSPFCTi )N NOTICE City of Tigard Building Department P.O. Box 2331+/ Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection D^'e 1equasted_�. Time i�' A.M.--P.M. Address .��' ��'� � _ __-- Permit 1 Owner__-_ ... --- _ Lot #_ Builder --- The following Building Code deficiencies are re 4aired to be corrected: C7 lam' L( Presented to - Approved Insoector ° —_. - —_- Disapprotcd Data — CALL F' REINSPECTION YES L-1 NO INSPECTION NOTICE City of Tiga,J Building Departmen' � P.O Box 23397 Tigard, Oregon 97223 Phone: 639-4176 Type of Inspection __�_ ll�_0` r-� Date Requested C� Time� A.M.__ P.M. Address Lel " L Z� ��ssi.' —_ Permit #_� Owner — Lv: Builderl' - ) + Lcf-rL-L _ kk The followingB Iding Code def ciencles are required to be corrected: L Ab-,d r c-,(' 1 C k.I `_ W I G „ ,3 T - . Presented to _ 4 5 Approved Inspector .;Le [ nproved Dote CAL FOR REINSPECTION Cl YES O NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 i-hooe: 639-4175 Type of Inspection Date Requested Time_ A.M. P.M. Address �` —� Permit # Owner Lot #. Builder The following following Building Coue deficiencies are required to be corrected: VOL r G-4 'N 3 -IN �- 1 -- Presented o __ �14110-1)roved !nspector / > � Div,pproved Date CALL FOR REINSPECTION El YES f-1 NO INSPECTION NOTICE City of Tigard Building Depai[ment P O. Box 23397 Tigard, Oregon 9722:; Phone: 639-4175 Type of Inspection _ "'� ��` '�— ---------- --- Date Requested "' � Q Time _ Q,.M._ P.M. Ad,iress /•L �/y� Jam, Yi ✓ lwlOrd a -- ---- Permit #_�.-.__----- Owner _ Lot 4k�---_—__-- Builder UwY�— -- —-- -- The following Building Code deficiencies are required to be corretled: zz Presented to _ Approved Inspector ❑ Disapproved Date -- CALL FOR REINSPECTION 0 YES ❑ NO INSPECTION NOTICE City of 'Tigard Building Department 1 f'tr� P.O. Box 23397 I / Tigard, Oregon 97223 Ph ine: 639-4175 i Type of Inspection _____ Date R_fussted ^ZL�^ ✓ , Time_�A.M. P.M. Address 1' —T��C/�71'L��d ^-•mit Owner Lot #E Builder The following Building Code deficiencies are required to he corrected: Presented to 31 pprared Inspector _ _ j] Ulapproved Da— CALL FOR REINSPECTION ❑ YES ❑ No �r INSPECTION: NOTICE r,ity of Tigard Building Department P.O. Box 23397 Tigard. Oregon 97223 Phone: 639-4175 cam_ Type of Inspection _. C - °il } IjA W%-J Daze Requested C-1 ' C��' Time /� A.M. P.M. Address /,:v:¢(�7 54� L-C)Qc�?Gf Permit # (] O /7,3/ Owner q -r;5,2,;? v P Lot # 9 Builder C �7 The fo'lowing Building Code deficiencies are required to be corrected: Presented to _ <<� Appro.,,-4 Inspector ) Disaporoued Data _--�—� CALL FOR REINSPECTION l� YES 0 P10 INSPECTION NOTICE n^� City of Tigard Building Department tt P.O. Box 23397 Tigard, Oregon 97223 ' Phone: 639-4175 Type of Inspection Date Req-jested Time A.M. P.M. Address c-) i4.)On' Permit #___' d i7t3 Owner . Lot # Builder �1.� 1� Y ° i cfla- 0 -- _ The follo+Ning Building Code deficiencies are required to be corrected: 1 Jmm G.tyL---z 46. -ala-t�ctJ l¢.n 2_,k /U s 4*t4ut ice C -.1- ' �1 -Z1 Prc:ented to — _ —. Of Approved 1 1�1 Inspector 11!-� J" — U-0sapproved Date - —---— CALL FOR R EINSPECTION LIQ YES D NO INSPECTION NOTICE /1 City of Tigard Building Department ✓ 1 Y� P.O. Box 23397 i( 0 1 igerd, Oregon 97223 Phone: 639-4175 ' Type of Inspection Date Requested C� Time A.M. P.M. Address ���' �` 1}^(�f �r L[�� Permit # 7 Owner Lot # Builder— L_L C 222`T I, The following Building Code deficiencies are required to be corrected: Presented to -� �Approved Icspector ❑ DInWoved Date CALL FOR REINSPECTION Cl YES O NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type -f Inspection _Data Requested ! �. Time A.M. _P.M. Address ---`[, c�.� 7 -�+ "A.2 �-- — Permit # ! 7 Owner .._. Lot # Builder - -------- ----- — 1 The fellowing Building Code deficiencies are required to he corrected: Pres.+nted to ----_- F'I Approved Inspector -- - --_- -- — Disapproved Date -- --- CALL FOR REINSPECTION Cl YES [J NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection 4-Y u�' �'`� I f � �– Date Requested T1 me A.M._.,x. P.M. Address Permit # s /73/ Owner Lot Builder — The following Building Code deficiencies are required to he corrected: e Presented to Ae".0 H Approved Inspector ff'bisapproved Date -0 CALL FOR,REINSPECTION ?r'YES 1A NO i INSPECTION NOTICE City of Tigard Builuinc3 Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 I Type. of Wdection Date Requested^ �C;� 7 Time A.M. P.M. Address IPermit # Owner_ -4- t/ � � ilC iot #t1� - ►rr` Builder The Blowing Building Coje deficiencies are required to be currected: i �'1 Ze .7z 00 ',- Presented to ❑ App•oved Inspector _ L--Disapproved Date CALL FOR REINSPEC ION ❑ YES NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 e Phone: 639•-4175 Type of Inspection Date Requested_ c.Zl Time_ A.M _ P.M. AddressG ` 7 �Ltt -- _- _ P_rmit #S2,173 Owner __--- -- Lot Builder The following Building Code deficiencies are requirdd to be corrected: Presented to fJ Approved Inspector _ " _ ❑ Disapproved Date CALL FOR REINSPECTION ❑ YES ❑ NO 'NSPECTION NOTICE ;ard Building Department P.O. Box 23397 iiy..rd, Oregon 9722.3 C1_ Phone: 6_39--4175 Type of Inspection Date Requ/est)ed _ cJ Time v_ A.M. ^PA. Address ,l. (ley7 6 L2,�1,4'7 l[)(7T�C� �W Permit Owner Lot # _. Builder The fol!owing Building Code deficiencies are required to be corrected: Presented to _ _ lj�1proved Inspector _- ' G C Disapproved Date CALL FUR REINSFECTION D YES ❑ No t �— /� fal.1•rl nthua 1:}�•{:>M►••r C1T- Y CSF T16A RD A+� lat�l}>rl r r wri I.I is w 1 r x 1 i' CR1'Ji1Tli, M COMMUNITY DEVELOPMENT DEPIARTMENT 0110°" 1'1/�'T'r: �'C;1;1 Ir:'1'1 1 1 1 (1 • .d 13125 S.W.Hall P.1 d..P.O.Box 23391,Tigard,Oregon 0723.(503)630-4175 " _ � lal'�'I'M C}M'T• Mf'1 fafa'1"r"><.L_ ____ .Ir)wa f1ni11".�1:�'�';�; • '1 Soh/.I"/ t:;l,l r::G�L"�'I'AI!"11!'1!'11'1 I'11Cr TAX M^D/1 ('1'r ca IQ • 141 IMM1•-1:} 1 Aler: I rS,All'1 1IC;r•' I r'1'1 r:,'1'7r: IIL�I ��n•ry1•r• sIs cJ<;r rL1f1 r.;4"""T'I:.IA.►r"tic; I,u 1fak !"1 LA e;t; NIM I,1 I'll•H="1 1 I IM'1"T"(; h 1 r'I':"T' Y.}'rf 1'T' i I••r: iYCll r;'I'NI'.rl r: I'•'/1M'I'1 Y M(I I:ar.l'1KinniviC; , :TC r---1fr 1.11\1 I f`r1MC;'T' rnl(»T 'T'Y D P. I IAI MPi I:,A T 6At; "d x'I IL, r'.:I'»40 I:}"X G:,IAr'T'T r'11}F'nJTNf:�: T'('1'T x.11 A14r n Nit. c;'T'f11:J'1'C:'r:; ;:+ 1 <, ( i:y (•`r11-01 r 1 U:"'rl';1••1'T P,0 :►Nr1 I '1 O(r PATE D : ME:'7ZAN1NEi:7 FASEM 'T r' L..(:)OP L.(:))D: 0,ao (:yr�r•�Arz1a. .? F; Ertl- ►1:}raKl,rt'r 61 APM•7 1:1-OW(CVM)M) I:)E::1 FA."1'7 YF::S:, I,I.AN (::I••Ir:::C:K 1:'.1Y . I';L'i• l...A!:i�r FtI:�:1:S35t.)r C31:10i:!c:'o 0 W Mclinx siz.1"rr:: I?E:r'tM11 1430 00 E I:)I:1 DOX :1.94.)2.1 PLAN Pl-.:V:1A W +u/la . no R 1:1 r 0.a►1'1 rl Sal 6'1 F.:: '1'A`•: I11F2:1. .50 (:)'T'1••11:::r: C i II-:VF;J-.11)PME:N'1' (wF161•:(;�: ► O M(:)G 11 i£iE'1•'TI•:" DON I:il')C:( !ii l C)ItM 1 7 N t11i ,.)0 . 0o T DON MC)I41:S:;Siih:i'1'1e. 1;-,i i.1-1 1, r:`:M 1I•,, cil:)C:l S141C:E:•r JiIbfa00 00 A IJIJ IMIX 1.9P.)ia/1 1'1:)1,:1 Ih.l. ) 111112.50 . O0 C ur.Ir T."IciII(:I 1:►r 97P1.1; GARE.PAT I:) < 41,10 . 00) 0 I -1(:1N@: J !!$0. k,Al l e.1 I R 111: (;:I r;T'PiAi Y 'I(')N NO 3P)`1'" TUTAI. : QI:I. ,.".S.') 150 f his permit Is Issued subject to the reaulahons contained In Title 14 of the TMC. State of Oregon Specialty Codes,zoning regulations '".."."' "'""""'"""••'•"""""'•••'•. and all other applicable codes and ordinances. and It is hereby reL:.WeJ.I.r'tEA) :I:N P1::C:'1'Tf.)NS5 agreed that the work will be done in accordance with the plans and i..001•1NG GE:WE,rt specifications and in compliance with all applicable codes and I (AANDAT:(C)N WAI...I_ PAIN DPO- TW5 ordinances The issuance of this permit does not waive restrictive r,(:)ri l 1v r91::f1M covenants Contractor and subcontractors shall have current city WA11:P L. INIr.. business tax permits This permit will expire and become null and i 'I_8 .t,1Nl:)IFPS I...A13 (,I r AP',P P(.",1.1!SW void if work is not started within 180 days.or if work Is suspended or !:)I...61:i (":1:NAL.. abandoned for a period of '°'.) days any time after work has 1:4.13 . 'rc:1r}OLY1, commenced. I all be the responsibility of the permittee to assure j:'rt/1M 1 NC; all required spec�fons are requested a d approved '111 r::1:rtl�::r}L..Ar.:F:i: C4AS L :1114E: I:N S:i 1.11..A'T 1:(:1 N Permittee S ature t;Yr} 11('16!?E) Issued By: (26 r , .TA; , SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE I:il,:Wl-.:p I? 381'r CITY OF TIGrA RD N"*(:) , , SE(381'796 C17YOFTIOARD COMMUNITY DEVELOPMENT DEPARTMENT ORIGON 13125 S.W.Hall Blvd.,P.O.Box 2J397.Tigard,Oregon 97223.(503)639-4175 1)(A'I I'si: T F;S)t.I r.-,1.) 1.0/Be _J2111ili P M I" N I I RR 11 '/_x1 ADDIII:K155 : .1.26417 SW DP USA NUMFHA : 036/4;:'!1. IAX MAP/1-01, SILM : SUMMER LAKE LJ :9 131'. : LANO (ISE : 1 114 Ll.l:zp-*: : PNG: W(:)Pl( (:;LASS : NI'.::W LISE 'T'YPk-'. : SINGI.-[:-: FAM11-Y lacill,wes t4:1 (.:l:)MIA.y With 80.1. f-1.13'Clih lal'Id V'a1gLlJ.aI,:iA:jj'jjjj 1)-(' 1.11 gFit Uni-0:�inml .f enjc�r M.Cle Aljeney . I'he parinit er.xpj.i,&j�qj J,Irjo (jaym 4-ri.-Ijin ti-1,0 (ji tv;j j., a a ui 4.1*7 d . The III-1111FILIll't, PlItid will bre fC)I-+*1JA,'0)d J.-P the p*�v-init expJ.I,r0,!:: I'hou 0gerwy ckwi. ijijt. ilkr)tme the lltfnc111'X.Lly (JF the lcic.Rtitan 1ap the filliAcil 14' tl-ie licit Mt the '3 J. Frtim thf,'+ C11-1.141Lca."Crm jijivtvn . If not wri 1(acin.tel,iji the inimtot'ller sli-jecl.'j. "Talp lal-Irl sicle Permit 41.1-1d "he FAfleerlc,y willa.ntntixa.a. us a.atte»r lira. ING TALL. TYPE : HU-1A ):r.N(.'*' SAE.WL'Al IMPERVIOUS API.-A : 1: 1:XrL1Pr::.' UNIT5 : TENANT 1MF)P(:)VEMl;:'N'7 DWI-FL-I ING UNI'rs ! I NO . OF, SLAX.'S . . :1. 0 FIE E S W MOW),w0:&.'T'I L: DON PERMIT $135 . 00 N p 13 BOX 1.91131f.'M C,111INNEXTIUN CHAI-4GLE E $1 , 100 . 00 R 11 U I I t'.11,ilt i i d 43 V LINE TAP INSIAL.1 C OTHLKI-4 111360 .00 0 N WIWI S UK DON T DON M(7RISSl:!'TTI::' 191ITILA)EPS IN(: , R A P0 DOX 1105P/l C p a r t 1.IR 11 d f2:1.9 T OW 0 PH ': (50Z.5) --R W.I. T his permit is Issued subject to the regulations contained in Title 14 RECD TA)l NO . 7 of the TIVIC. State of Oregon Specialty Codes, zoning regulatiot,s ..."••"•~•• ...•. and all other applicable codes and ordinances, and it is hereby REQUIAK01 INSPECTIONS agreed that the work will be done In accordance with the plans and 14011-JIGIA—IN 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 If work is not started within 180 days,or if work is suspended or abandoned for a period of 180 days any time after work has shall I be the responsibility of the permittee to assure commenced.Aca, all required ons are reques and approved. Pprmitt-ie Si INSPE1.1'ItiP 6 S, By:Issued B SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE C17Y OF TIFA RD PLA)WING PERMIT A\ CITYOFTWAND COMMUNITY DEVELOPMENT DEPARTMENT NO . : PI-File:1.7941 13125 S W Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97123,(503)639-4175 10 PRIM . I' M'T* ,140. 1131131.731 )( 1'.0 111 NG A 1. 541 S -,W(:)(:)I) DA TAX MAV, 1.r)0*r SUB : SUMME41 L.AKIE L'T' : 9 EIK 1 OND LIGE '. I TA-".M: NO : NO W(:)PK C11 AM-i - NIEW 11,111'T ER (.11 05111'r 3 T 1:4 A P 11SU.: FYI::'E : F'AMILY UPTNAL. 810A.-OW PAVISITP GONSI IYPF' : UN 1. AVOPATOPY 3 TPAP Pn:1,M1:;*P DI 51AWAS11-11VA :1. (*.-11APF)A('.A:: IIXTSI:•,UGAL I NO . !:>'1(:)W.1:-:5 4? Wolit;IIJOONG, MACIAINE: :1. DWIFI-L. .IANT 1105) .1. 11.r11.1N1: OY VAIAY 131 UG. DROIN MIA 1`1.00P DIIAIA S'ENK WATE-14 HEATER I STOW11/11AIN (I f 0 W N E DON 1. 50 R 1.)0 Y5 i?I :1 iit I d uI r F:11:X'T 1A RE:5 STATE: TAX C OTHEA 0 N T !:;IAOFMAKEAI- HAI-101..A) RU11OLMOKRAVS PLUMHTNII; A C 1307 HOX 250 T 0 CI.- R Cl ill, c1r, 91023 R (50.3) 6-50-17aa III:I,...:r I I I., I I'TTS? Pit I .X)7 F7.V This permit is issued subject to the regulations contained In Title 14 of the TMC, State of Oregon Specialty Codes. zoning regulations PET.I.EUVIV NO . q and all other applicable codes and ordinances, and It Is hereby ......... ........ .................. ...... agreed that the work will be done In accordance with the plans and INSPECTIAMS specifications and In compliance with all applicable codes and PL.191 (JINDIENS1 ordinances The Issuance of this permit does not waive restrictive IN)" 1 covenants. Contractor and subcontractors shall have current city , 9 HEAM business tax permits This permit will expire and become null and I:,' 1, 1NI'l void if work is not started within 180 clsys,or it work Is suspended or i UOPOUT abandoned for a period of 180 days any time after work has PA.144 DROINS commenced. It shall be the responsibility of the permittee to assorr, FAI NAL all required ections are requested proved .-lei mittpe Signature Issued By — - SEPARATE PERMITS REQUIRED 611' V464K &4h'-f9A415t's6�id" ED ABOVE PEKW11' C11Y OF YIGA RD Cl Oft' COMMUNITY DEJELOPMENT DEPART,AENT 0110M NO ME081.719,') 13125 S.W.Hall Blvd.,P.O.',ox 23397,Tigard.Oregon 67223,(503)639-4175 881 V•� I 1(719 AE)DPF_:!:0;j : U.'16,417 514 G1*-"P:1:tQW()0D DA TAX MAF'/L.01 SLID: SUMME.1.4 LAKE 1.0.1 :9 "K . I AND USE:`. I UIT SIZE—. NO: WINK U A5S : NE , <100K ATW HANDLP <10 LJ!*.51:.-1 lYF+:: : 51N(N.E FAMILY FV::1NACA:: 100K+ 1, Aff1 HANDIo.14 10K CONST . I Y V A ITI 00k F11PNO)CIE. IFVAP ['11:1101 FK'P 4 OCCUP . 01I. P . P3 11EA T'I­.".P VE:N*T' FAN VIEN010 VENT' 5YS01*1:;:M WL 1""/COMID <'1*01171 HOOD NO . S1 P. 1')1..17/ClUMF' 3.NCI NE:RA'T(:)r1(U011 EMPI..L. .UN 1: P5 1, F31...1:1/(:1L)M1:) 1,15-301-Wo INC I:WER011)P((70M I UE-L. I yl:,I::. GAL5 W WICOMP "30 :10HF•' PIEPAIR LJN:1: 1'5 wix . :crorlt.n* 0 1'1-1 E,1:1 1 THF. 1711PI:41: 7 (:)tll*l F:V:4 4-­ ...MAI1 KS : 10 W N 1'1::' DON E R P C1 DOX 1.<;-10"'?/1 1'L.AN r4i::KVH'.:.W $1.2 00 tour i,1.iik I I cI i X JUWES *38. 00 I fo)'I'K I'AX $2 . 10 C c T FIEP 0 N T A C Avl*i* T 0 r.'I ACKAMA!l cm vio I , r.-I-Ac3m, (),,j pz4,3 1,(3/.1 r. 41 1.:) 1 Plo I T t.11 IFIA4 f 1110W.J. . 410 This permit is issued subject to the regulations contained in Title 14 of the TMC. State of Oregon Specialty Codes,zoning regulations RE.CET.P't NO and all other applicable codes And ordinances, and It is hereby agreed that the work will be done in accordance with the plans and PIE'lRUTPED T.WiPF.�#:'TIONLE, specifications and in compliance with all applicable codes and (.;AL1 L. :LNr:*.-: ordirances The issuance of this permit does not waive restr1cfIve P05 1* 811-1:AM covenants Contractor and subcontractom shall have currer". ;Ity business tax permits this permit will oxpire and become null and i ,11 TN void if work is not started within 180 days,or If work is suspended or 141.1-11 abandoned for a period of 180 days any time after work has commenced It shall be the responsibility of the permittee to 8590re all required,pictions are.requeste d approved (Z �� Permitte nature Issued By C-I' SEPARATE PERMITS REQUIRED kbg W6'RK- 'ftik*�NA4ftg,"R bED ABOVE C11YOFTIGARD COF PLAN CHECK APPLICATION COMMiJNffY DEVELOPMENT DEPARTMENT D PLAN CHECK N �-+3,25 SW NW BMd. P.O.4br 23M.Yl Wd,Oregon g=(soi)&W4175 PERMIT N DATE ISSUED _ JOB ADDRESS: i I 14,y- S•`, ' S/k m6i,,c)u r,) ivt TAX MAP/LOT — —r SUB: _�-, AV1 Ley.-L fl tc-e IArf LAND USE: VALUATION: OWNER NAME: �, `L ��� SPECIAL NOTES f� ADDRESS: "�' �' REISSUE OF: — LAST REISSUE: G_t- U FLOOD PLAIN/ SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED NAME: PLANNING: ------- ENGINEERING: - ADDRESS: - FIRE DEPT OTHER: PHONE: — ITEMSRE UIRED ARCH/ENGINEER LIST/SUBCONTRACTORS: _ NAME: BUS TAX: _ ADDRESS: CALCULATIONS: �-— - — TRUSS DETAILS: PARKING PLAN: PHONE: LANDSCAPE PLAN: - --- OTHER: C,OWENTS: _ ��{ I. ,S (.-k PERMIT N ACTT N DESCRIPTION 5' V�731 10--432. 00 Building Permit Fees AMOUNT AMOUNT PD. BA/ DUE 10-431 00 Plumbing Permit Fees -z— L/ ; u x�r �Z U I �Z, >7� 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5X) � U —" -�'ZJW-- Building /„5 'a 53 Plumbing L Mech 10-433 00 Plans Check Fee Building U --- — �j Plumbing G 30--202 00 Sewer Connection C/ 30-444 00 Sewer Inspection 51•-448 OU Street System Dov Charge (SDC) 52--449 01 Parks I System Dov Charge (PD(,,) p - J 52-449 02 Parks 11 System Dev Charge (PDC) _. V 31-450 00 Sturm Draicage Syst Dev Chrg (SSDC) 1 T U 10-230 09 TRFO 10-230 06 Washinytun County lire N1 (95X) 0-220 UO Amar t WedgewuL,d P C # _ i APPLICANT SIGNATURE Received By : ) D --- ht/3587P/18P ate Rrceivcd. 7: i DON MORISSETTE BUILDERS,INC. _010082 DATE �- DESCRIPTION AMOUNT DEDUCTION NET AMOUNT Rrv,j c4a (��j) RAN o� HECK DATE CpNTRCI NUMBER --_` TOTALS _.. �------- 1