Permit CITY OF TIGARD SEWER CONNECTION PERMIT
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a �. COMMUNITY DEVELOPMENT Permit #: SWR2010 -00064
J yr Date Issued: 04/30/2010
.T [GARL? 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 1 S135CD01201
Jurisdiction: Tigard
Site address: 11665 SW 98TH AVE
Subdivision: Lot: 0
Project: Scott
Project Description: Connect existing house to sewer service.
FEES
Owner:
SCOTT, STEVEN A & JANET K Description Date Amount
11665 SW 98TH AVE Sewer Connection Fee 04/30/2010 $3,600.00
TIGARD, OR 97223 Sewer Inspection - Residential 04/30/2010 $35.00
PHONE: 503 - 407 -3731
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 Noti cat . - ; . Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the r -s
or direcrquestions to OU b • ' g 503.246.6699 or 1.800.332.2344.
I ued By: • Permittee Signature:
WrIVF
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.