Permit (2) t CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit#: SWR2022-00070
Date Issued: 6/9/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102DC00505
Jurisdiction: Tigard
Site address: 9175 SW EDGEWOOD ST
Project: PDX Property Sewer Connection Subdivision: EDGEWOOD Lot: 13
Project Description: Decommission septic and hook up to city sewer
Contractor: Owner: SABBE, APRIL
9175 SW EDGEWOOD ST
TIGARD, OR 97223
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 06/09/2022 $6,085.00
Sewer Inspection-Residential 06/09/2022 $35.00
Type of Use:
Class of Work:
Install Type:
Fixture Units:
Number of Dwelling Units:
Total $6,120.00
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
Issued By: �Z►C '/�j�• ��,` / Permittee Signature: 5e1,• .07/!G6GI/!�
/v 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.