Permit e CITY OF TIGARD SEWER CONNECTION PERMIT
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0 .. COMMUNITY DEVELOPMENT Permit#: SWR2010 -00070
T i G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/05/2010
Parcel: 2S103CD04500
Jurisdiction:
Site address: 13543 SW PIPER TER
Subdivision: TINDALL PARTITION Lot: 1
Project: TINDALL
Project Description: Sewer connection for new SF
Owner: FEES
LAWSON, BRENT E Description Date Amount
7524 SW RED CEDAR WAY Sewer Connection Fee 08/05/2010 $3,600.00
TIGARD, OR 97223 Sewer Inspection - Residential 08/05/2010 $35.00
PHONE:
Contractor:
PHONE:
FAX:
Type of Use: SF
Class of Work: NEW
Install Type:
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 • OUNC by calling 503.246.6699 or 1.800.332.2344.
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Issued By: a /� �' Permittee Signature: / G ' -"411111111111°.111r ..
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.