Permit ir CITY OF TIGARD SEWER CONNECTION PERMIT
i
COMMUNITY DEVELOPMENT Permit #: SWR2010 -00063
Date Issued: 04/30/2010
[CAR 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 1S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 380
Subdivision: LINCOLN CENTER/ WO LINCOLN Lot: 0
Project: Waldron Company
Project Description: .3 EDU increase.
FEES
Owner:
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555 Sewer Connection Fee 04/30/2010 $1,080.00
CALIFORNIA ST 49TH FL
PHONE: 503 - 619 -3200
Contractor:
PHONE:
FAX:
Type of Use: COM
Class of Work: ALT
Install Type: Building Sewer
Fixture Units:
Number of Dwelling Units: .3
Total $1,080.00
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 direc qtlestions to OUNC g 503.246.6699 or 1.800.332.2344.
I ued By: C � Permittee Sinature: (
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.