Permit CITY OF TIGARD SEWER CONNECTION PERMIT
a ' COMMUNITY DEVELOPMENT Permit#: SWR2020-00162
Tigard OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 3/23/2021
TIi;,1R.D 9
Parcel: 2S106DB24700
Jurisdiction: Tigard
Site address: 13054 SW AUBERGINE TER
Project: River Terrace Northeast,Lot 4 Subdivision: RIVER TERRACE EAST 3 Lot: 268
Project Description: Sewer connection for new attached dwelling
Contractor: Owner:
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 03/22/2021 $5,800.00
Sewer Inspection-Residential 03/22/2021 $35.00
•
Type of Use: SFA
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, Stale 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 952-001-0010through OAR 952-001-0090. You may obtain a copy of the rules or direct questions
to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: }{oUyVafvVezWe,.e Permittee Signature: 0WAppUG(itttcrn
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.