12525 SW PRINCE EDWARD CT CITY OF .,
BUILDING PERMIT APPLICATION TIGARD DATE g :) . 19 N° —
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND
aAPPRROVED``IN�THE
/ACCOMPANYING PLANS AND SPECIFICATIONS_. OWNER PHONE
OWNER I(j'f vlk tt44 �21'Pii`c'L " ' ADDRESS lp.40.4"„eHa
�BUILDER�PHONE
• ENGINEER
BUI LDER c".� �L tt"�b1� � I`�" A CHITECT DESIGNER
STRUCTURE r.:-.1—NEW .REMODEL El ADDITION ,REPAIR RENEWAL DFIRE DAMAGE ❑DEMOLITION
%ESIDENCE COMM DEDUCATIONAL DGOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE®SLAB ❑FENCE
(BOND ❑MOVING CCONDITIONALUSE ❑DESIGN REVIEW DCOUNCIL APPROVED DSIGNS
OCCUPANCY LAND USE ZONEr BLDG.TYPE FIRE ZONE_ PLAN CHECK BY HEAT
t
Ay,
OCC. LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE 45 i, , (`
C
BUILDING DEPARTMENT I SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 0 t
' THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
I
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
%State 7,/ LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total /
AlAil /,./'/Ii ilrA. R/OVIO 14 41.- , /
• •PLIC•NTORAGENT / Q / /
1 Approved I Receipt No. / 6.44,4407 :z..."
/4/�i�-� !a 35 „�,
i ri��
ADDRES PHONE
T
F —_.
dam: �!�; _.��
t , _/ �'ci CITY OF e�
BUILDING PERMIT A PPL' ATLN "TI AgDATE 9'--
2 , 1974 N9 , v _
1 )
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
0 AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS-AND( � SPECIFICATIONS. OWNER PHONE /
AI- NER a/P....(1-€.1.44/0..-ya. ADDRESS Jv2S J �PLvX�.P6�ty ( eUILDERPHONE /0y,—S�-T
ENGINEER
.52_,ILDFR •
ARCHITECT DESIGNER
STRUCTURE :NEW 'REMODEL -- ❑ADDITION 0 REPAIR ❑RENEWAL ❑FIRE DAMAGE DDEMOLITION
*RESIDENCE 0 COMM DEDUCATIONAL DGOV'T ❑RELIGIOUS OPATIO ❑CAR PORT. ❑GARAGE ❑STORAGE DSLAB 0FENCE
BOND 0 MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW OCOUNCIL APPROVED OSIGNS
OCCUPANCY ..Y LAND USE ZONE 11-7 BLDG.TYPE S FIRE ZONE J PLAN CHECK BY C/K/ HEAT ,
--t-t-t- 424--re Z&.--- /2-0-1,4-e-0,
` e Y
C5 y 1 isimi
6 : • ► FLOOR LOAD HEIGHT NO.STORIES AREA VALUEe:g7d J
i BUILDING DEPARTMENT 1 �'
1 �I { SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit II DC) - .
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Pian Check II REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording jl ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR Ar. ;H CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1
v.%State .--2....--2... LICENSE,SEPARATE PERMITS REQUIRED FOR .vER, PLUMBING AND HEATING.
Tout V / , 7,2,I I
I3y II -. sa I APPLICANT 04 mar: -4.. _._....„.
I Approved II I Receipt No.
ADDRESS PHONE