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Permit / C1TY TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT #: SWR98 -00331 � - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/11/00 SITE ADDRESS; 12615 SW 72ND AVE PARCEL: 2S101AB -02701 SUBDIVISION: HERMOSO PARK ZONING: MUE BLOCK: LOT: 025 JURISDICTION: TIG TENANT NAME: EAGLE HARDWARE + GARDEN USA NO: FIXTURE UNITS: 142 CLASS OF WORK: NEW DWELLING UNITS: 9 TYPE OF USE: COM NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: 0 Remarks: Plumbing for a new 147,812 sq ft hardware store and garden center. Previous building demolished. Previous EDU's 24. Credit of 15 EDU's for any future sewer connection charges for new fixtures added. This new building to be charged 9 DU's per accounting department monthly billing. No connection charges for this permit. Only inspection charge. Owner: FEES Type By Date Amount Receipt INSP CTR 9/11/00 $45.00 27200000000 Total $45.00 Phone: Contractor: Phone: Reg #: • Required Inspections Sewer Inspection This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. Issued by: `� Permittee Signature: �' Call (50 ) 639 -4175 by 7:00 P.M. for an inspection needed the next business day Accumulative Sewer Tally Tenant Name: Low f S /14a,t_f.. / z.,k'12er.- This SWR# cwk ( -6 c3 / Address: /94/6 6 7A = 4 ' 41/i- This PLM #: Pit-/ 2doo - DU 94 Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added # added #s total Count off #s count value values Baptistry/Font 4 Bath - Tub /Shower 4 - Jacuzzi/Whirlpool 4 Car Wash - Each Stall 6 - Drive Through 16 Cuspidor/Water Aspirator 1 Dishwasher - Commercial 4 - Domestic 2 y Drinking Fountain 1 Eye Wash 1 Floor Drain/sink - 2 inch 2 /' - 3 inch 5 `� i a•0 -4inch 6 - Car Wash Dm 6 • Garbage -Disposal 16 • Domestic (to 3/4 HP) - Commercial (to 5 HP) 32 - Industrial (over 5 HP) 48 Ice Machine/Refrigerator Drains 1 Oil Sep (Gas Station) 6 Rec. Vehicle Dump Station 16 Shower - Gang (Per Head) 1 - Stall 2 Sink - BarLavatory 2 S - Bradley 5 • - Commercial - • 3 (o - Service 3 • • Swimming Pool Filter 1 Washer - Clothes 6 Water Extractor 6 Water Closet - Toilet 6 1 3 - -7g Urinal 6 3 l 'g TOTALS 3t i (/,\ -aLla aq Et., i tb p.�,�t• ILA_ Total fixture values: . • divided by 16 = EDU g,�,,,,� k .: �1� - )' k' ` J.0 `° u g.sz.c.b5� 9 g.7 , Lok�e.l,,-. . A)'"' HISTORY -�� � /5 EDP Cho , PLM# EDU# ' • SWR# ( PLM# EDU# SWR# PLM# EDU# SWR# 1 PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# • EDU# SWR# PLM# EDU# SWR# i:ldsts■swrtaly.doc