Permit CITY OF TIGARD SEWER CONNECTION PERMIT
G° COMMUNITY DEVELOPMENT Permit#: SWR2022-00141
Date Issued: 1/9/2023
TIGARD 13125 SW Hall Blvd.,Tigard OR97223 503.718.2439
Parcel: 2S103BD12200
Jurisdiction: Tigard
Site address: 12594 SW 121ST AVE
Project: HOLLINGSWORTH PROPERTIES LLC, Lot 3 Subdivision: Hollingsworth Subdivision Lot: 3
Project Description: Sewer connection for new detached dwelling.
Contractor: Owner: HOLLINGSWORTH PROPERTIES LLC
PO BOX 23894
TIGARD, OR 97281
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 12/14/2022 $6,625.00
Sewer Inspection-Residential 12/14/2022 $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 $6,660.00
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: a! %€� � Permittee Signature:
.639.4175 by 7:00 a.m.for the next available inspecti n 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.