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DEPARTMENT OP LAND USE AMO THANSr'ORTA TION II PERMIT NUMBER
LAND DEVELOPMENT SE'IVICES DIV}SIG
ki 160 NORTH FIRST AVE. HILLSBORO, OREGON 67124
BUILDING PERMIT «u�`A,�, - _
'i APPLICATION TYPE C)NST.
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APPLICANT TO COMPLETE MIN.
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ADDRESS FINAL INSP. _—_
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PHONE 1-7)S- .&S
USE ACT ION_
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ENGINEER _ COPVNTS _
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DESCRIPTION OrIF WORK r�---�1 `_-'__- _ �
Li NEW LJ ADO Li ALTER UREPAIR l_)DEMO.
BIDG. SIZE - 50.F1. BASEMLPIT SIZE--SO.FT. FEE VALUATION=
Nn BEDROOMS—_ NO. BATHROOMS_ NO. FAMILIES__ ITEM r CE••
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1151 OF STRUCTURE f_ _B P.__ __
PURSUANT TO ORS 701.055 MY REGISTRATION IS IN F.M. --I
FILL FORCE AND EFFECT. ST.TAX __ 1
STATE L.ISC. NO. _w.__ . DEV.COMPL - I.. _` ___,_
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TYPEPROVISIONS OF AWS AND ORD!NANrES GOVERNING THIS [ADDRESS--•--- —
TYPE OF WORK WILL SE COMPLIE WITH *CHER SPECIFIED ---•- -
HEREIN OR NOT. 7 APRON/SIDEWALV
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