Permit III CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit#: SWR2021-00009
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 2/22/2021
TIGARD9
Parcel: 1 S 136AC04900
Jurisdiction: Tigard
Site address: 10717 SW 72ND AVE
Project: Topping Corner,Lot 2 Subdivision: TOPPING CORNER Lot: 2
Project Description: Sewer connection for new detached dwelling
Contractor: Owner: LENNAR NORTHWEST INC
11807 NE 99TH ST STE 1170
VANCOUVER,WA 98682
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 02/17/2021 $5,800.00
Sewer Inspection-Residential 02/17/2021 $35.00
Type of Use:
Class of Work:
Install Type:
Fixture Units:
Number of Dwelling Units:
Total $5,835.00
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable
law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification
Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions
to OUNC by callinng\5_03.232.1987 or 1.800.332.2344.
Issued By: ►�Q1\` ��hd _ pap Permittee Signature: (� O `i`.0 ip�
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Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.