Permit
CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit#: SWR2010-00021
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02/09/2010
Parcel: 2S112CD00300
Jurisdiction: Tigard
Site address: 15735 SW 76TH AVE
Subdivision: DURHAM ACRES Lot: 10
Project: Patton
Project Description: Connect existing SFR to sewer.
FEES
Owner:
PATTON, KENT D & AMY SAGER Description Date Amount
15735 SW 76TH Sewer Connection Fee 02/09/2010 $3,600.00
TIGARD, OR 97224 Sewer Inspection - Residential 02/09/2010 $35.00
PHONE:
Contractor:
PHONE:
FAX:
Type of Use: SF
Class of Work: ALT
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $3,635.00
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: Or rt 0
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit#: SWR2010-00021
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02/09/2010 00
~4$@- a s z c 003
Parcel:
15-75S Jurisdiction: Tigard
Site address: 457769 SW 76TH AVE
Subdivision: KNAUSS SUBDIVISION Lot: 9
Project: Patton
Project Description: Connect existing SFR to sewer.
FEES
Owner:
>00S D INQ rl~ Q ~YYLlJ1 ~kn Description Date Amount
VER PKWY t 5~Rye Sewer Connection Fee 02/09/2010 $3,600.00
ND, 97201 Sewer Inspection -Residential 02/09/2010 $35.00
PHONE: v i
Contractor:
PHONE:
FAX:
Type of Use: SF
Class of Work: ALT
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $3,635.00
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 952-001-0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that b smess y.
This permit card shall be kept in a conspicuous place on the job site unt pI.tion of the project.
Approved plans are required on the job site at the time of each inspection.