Permit CITY OF TIGARD SEWER CONNECTION PERMIT
' COMMUNITY DEVELOPMENT Permit#: SWR2021 00070
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 3/29/2021
T r(;;�R n 9 Parcel: 2S102DCO2001
Jurisdiction: Tigard
Site address: 9400 SW EDGEWOOD ST
Project: Edgewood Subdivision: EDGEWOOD Lot: 18
Project Description: Sewer install from house to city lateral
Contractor: Owner: GETSINGER, EVELYN M FAMILY TRUST
BY GETSINGER, EVELYN M TR
9400 SW EDGEWOOD
TIGARD, OR 97223
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 03/29/2021 $5,800.00
Sewer Inspection-Residential 03/29/2021 $35.00
Type of Use: SF
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
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. TENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification
Center. Those rules are set forth in 0 .552-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions
to OUNC by calling 503.232.1987 or 1.8 2.2344.
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This rmit 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.