10210 SW WASHINGTON SQUARE 10210 SW Washington Sc,uare Road
1S1 35DA 100
sign
60201
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WASHINGTON COUNTY 60201
DEPARTMENT OF LAND USE AND TRANSPORTATIDN PERMIT NUMBER
LAND DEVELOPMENT SERVICES DIVISION
160 NORTH FIRST AVE. HILLSBORO. OREGON 9712k
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BUILDING PERMIT ��P _ -_
APPLICATIION �0/4,sid on TYPE CONSTIE� . ----
DEV.DIS1. —_
APPLICANT TO COMPLETE M1N YD F S R
K 1 OVERHANG
PROJECT ADDRESS LylzA41L 1 O — aCAhRICl/u,04
ITEM APCR. :r DATE
NEAREST CROSS STREET 44.04_‘41-ii Sr
P.0
''TAA MAr L_'51.3 1A� l('11a° _TRACT STRUC.ENGR.
NO.14LOG. F.M.
SUBDIVISION _�_ W)W ON LOT SANITATION
'OWNER RAQ►O S Al.ct< _ DEV.CE 1PL. gl/ 111
FINAL INSP. tfalseporms.
ADDRESS
N. USE ACT 105
ARCHITECT/ j� �� )� r/
ENGINEER . (O NT L V II I L ‘
ADDRESS , ` _ J
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PHONE _
.GENERAL - .- .
CONTRACTOR VA an y Sic,., O' A , c- . --
ADDRESS 7RD S`1 Ac -5"144.1 ,- L rL ( �/ L
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DESCRIPTION OF WORK
❑NEW ❑ADD ❑ALTER 0 REPAIR L DEMO.
BLDG. SIZE _ _ so.FT BASEMERT SIZE SOFT. FEE VALUATION
ITEM FEE 1
NO. BEDROOMS____ NO. BATHROOMS NO. FAMILIES P.C.
USE OF STRUCTURE B.P-
PURSUAN* TO ORS 701.055 MY REGISTRATION IS IN F ^J —
FULL FORCE AND EFFECT. ST.TAA
STATE LISC NO. - DEV.COMPL. --
,.�_._+__y_..__ -- - S.D.C.
ALL PROVISIONS OF LAMS AND ORDINANCES GOVERNING THIS ADDRESS _
TYPE OF WORK WI COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT �' APRON/SIDEWALK , ,. -
Aao[1Nt SIGIi } i ^
S1LN1N[ ceammilmin OTHER
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(AFTER 4:30 540-3S$1)
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