Permit ! ' i 1I N SEWER CONNECTION PERMIT
CITY OF TIGARD
ip
is 2 ,' COMMUNITY DEVELOPMENT Permit #: SWR2009-00125
u Date Issued: 12/11/2009
,T [ GARQ 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S 112 B D08800
Jurisdiction: Tigard
Site address: 7876 SW WEBBER LN LN
Subdivision: BRITTANY MEADOWS Lot: 24
Project: Brittany Meadows
Project Description: New SFR
Owner: FEES
MORRIS WESTLUND Description Date Amount
16615 MAPLE CIRCLE Sewer Connection Fee 12/11/2009 $3,600.00
LAKE OSWEGO, OR 97034 Sewer Inspection - Residential 12/11/2009 $35.00
PHONE: 503 - 601 -5041
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 questions to OUNC by calling � 50 � 3.246.6699 or 1.800.332.2344.
Issued By: . J �n y / S) CQ31jittia PermitteeSignature:
l'J `' � Call 503.639.475 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.