Permit CITY OF TIGARD SEWER CONNECTION PERMIT
1 s. COMMUNITY DEVELOPMENT Permit#: SWR2022-00012
Date Issued: 3/24/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1S125DA13300
Jurisdiction: Tigard
Site address: 6711 SW ALFRED ST
Project: Alfred Street Partition, Lot 1 Subdivision: None Lot: 1
Project Description: Sewer connection for new detached dwelling.
Contractor: Owner: WESTLAND CUSTOM HOMES LLC
126970 SW 68TH#400
TIGARD, OR 97223
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Inspection-Residential 03/24/2022 $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 $35.00
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 160 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
/ t�set forrthin OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: 112 Permittee Signature: `T C
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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.