15740 SW ROYALTY PKWY (2) BUILDING PERMIT APPLICATION CITY
TIGARD DATE �� ,9/2 .
HE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONF
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS D SPE IFICATIONS. OWNER PHONF
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R l-E%"!. •�/ JOB ADDRESS l5 y° 5 / #/Add&iI ME ADDRESS
ARCHITECT
/ ENGI NEER
ER 4 „4_, 0 I/ ei•DDR ESS DESIGNER
UCTURE U NEW D R'/ODEL ❑ADDITION P4EPAIR ❑RENEWAL ❑FIRE DAMAGE ODEMOLITION
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IDFNCE ❑COMM ❑EDUCATIONAL DGOV'T DRELIGIOUS OPATIO ❑CARPORT DGARAGE DSTORAGE DSLAB ❑FENCE
IIIBBOND ❑MOVING DCONDITIONAL USE 0 DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
CUPA CY__.__LAND USE ZONE–_ BLDG.TYPE_��FI'E/'ONq— PLN HECK BY HEAT
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C LOAD FLOOR LOAD HEIGHT NO. STORIES AREA NO.BEDROOMS VALUE/ga) 012_,
BUILDING DEPARTMENT. nSET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit J ,C ��
!!�� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
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
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
n RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax
Total
By
Approved
d_ LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
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GC �- (J.G
‘4914- .
LICANT OR AGENT
Receipt No.
ADDRESS PHONE