Permit 1 • CITY OF TIGARD SEWER CONNECTION PERMIT
` '� COMMUNITY DEVELOPMENT Permit#: SWR2023-00076
Date Issued: 7/3/2023
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S106DC16100
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Jurisdiction: Tigard
Site address: 13869 SW 171ST AVE
Project: Riverside at Scholls Meadow, Lot 54 Subdivision: RIVERSIDE AT SCHOLLS MEADOW Lot:
Project Description: Sewer connection for new detached dwelling.
Contractor: Owner: RIVERSIDE HOMES LLC
15350 SW SEQUOIA PKWY STE 320
PORTLAND, OR 97224
PHONE: PHONE:
FAX:
FEES
Description Date Amount._
Specifics: Sewer Connection Fee 07/03/2023 $6,625.00
Sewer Inspection-Residential 07/03/2023 $35.00
Type of Use:
Class of Work:
Install Type:
Fixture Units:
Number of Dwelling Units:
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• Total $6,660.00
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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: Permittee Signature: ��� �� � ,�
3.639.4175 by 7:00 a.m.for the next available inspection date. 3-77j2_ 4,j-/ l�^
This permit card shall be kept in a conspicuous place on the job site until completion of the project. /�UI ! Xn l S
Approved plans are required on the job site at the time of each inspection.