8730 SW SCOFFINS STREET 8730 SW SCOFFINS STRSE"
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JIL_DINC PERMIT APPHCAT�ON TIGARD DATE _+ - 19-- No 0 0 6 7
I UNDLi3SIGNEU HEREBY APPLIES FOR APLAMIT FOR THE WORK HEREIN INDICATED
AS SHOWN AND AW'ROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE.---._,��_
N L R I r7 pry 71 ADDRESS _'1 / J t/ pe- JGNY6i BUILDER PHONE
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t�. ENGINEER
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rr ARCHITECT _,,--;;(( DESIGNER
URE ❑NEW ❑REMODEL ❑ADDI TION I:JREPAIR ❑RENEWAL []FIRE DAMAGE _❑DEMOLITION
DENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑REL,GIOUSCIPA_TIU ❑CARPORT ❑GARAGE ❑S70RAGECISLAS E]FENrE
)ND �]'❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APFROVEO CISIGNS
,NCY—_r_ LAND USF ZONE_ LDG_TYPE__..g✓---FIRE ZONF PLAN CHECK i)Y' HEAT--
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)AD
EAT_--IAD FLOOR LOAD %SEjTCKS
HEIGHT NO.STORIES AREA VALUE /4�
'fUILDING DEPARTMENT _ FRONT REAR LEFT SIDE RIGHT SIDE
THIS PERMIT IS ISSUED SUBJECT TO TKE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Teck REGULATIONS AND ALL APPLICABLE CODES AND OROINANk,ES, AND IT IS HEREBY AGREED THAT THE
' WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONF AND IN COMPLIANCF WITH
ling ALL APPLICABLE CODES AND ORDINANCE:. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE-
`— RESTRICTIVE COVENANTS. CENTRACTOR AND SUB CONTRAC'ORS TO HAVE CORRENT CITY BUSINESS
to LICENSE, SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING,
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Address '7 �;� Permit No.
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---- -- Paid by
_ Date connected,
Type of Building Qt*���L"'"� Inspection fee
Service Rate `. Paid by _ .Date
Contractor. Assessment Paid
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