Permit CITY OF TIGARD SEWER CONNECTION PERMIT
11." . COMMUNITY DEVELOPMENT Permit#: SWR2023-00015
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 5/30/2023
TIGARDg
Parcel: 1 S 135AC 15600
Jurisdiction: Tigard
Site address: 9354 SW,LONGSTAFF ST
Project: Ash Brooke Villas,Lot 23 Subdivision: ASHBROOK VILLAS Lot: 23
Project Description: Sewer connection for new attached dwelling.
Contractor: Owner: ABVOZBP21 LLC
1815 NW 169TH PL STE 1040
BEAVERTON, OR 97006
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 05/30/2023 $6,625.00
Sewer Inspection-Residential 05/30/2023 $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 $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 a.-- -d 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. e rules
Issued By: fz,.... .e...........e.o..„ "----? Permittee Signature: y/� !
Ca 5 3.639.4175 by 7:00 a.m.for the next available inspection -a e
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This permit card shall be kept in a conspicuous place on the job site until co pl• on of the project.
Approved plans are required on the job site at the time of each i s.ection.