Permit k q CITY OF TIGARD SEWER CONNECTION PERMIT
a ' COMMUNITY DEVELOPMENT Permit #: SWR2009 -00136
' •'• Date Issued: 12/16/2009
!T.1 GR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S111CB01708
Jurisdiction: Tigard
Site address: 10260 SW HOODVIEW DR
Subdivision: HOOD VIEW Lot: 7
Project: Skach
Project Description: Connect existing house to future sewer service. Sewer reimbursement fee paid on 12/16/09.
FEES
Owner:
SKACH, JOSEPH & MARY ANN SKACH Description Date Amount
10260 SW HOODVIEW DR Sewer Connection Fee 12/16/2009 $3,600.00
TIGARD, OR 97224 Sewer Inspection - Residential 12/16/2009 $35.00
PHONE: 503 - 598 -9685
Contractor:
PHONE:
FAX:
Type of Use:
Class of Work:
Install Type:
Fixture Units:
Number of Dwelling Units:
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 quest• • . i - by calling 503.246.6699 or 1.800.332.2344.
Issued lEk . Permittee Signature: I ,&, � L
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.