Permit CITY OF TIGARD SEWER CONNECTION PERMIT
s: • COMMUNITY DEVELOPMENT Permit #: SWR2010 -00133
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/16/2010
Parcel: 1S135CA09600
Jurisdiction: Tigard
Site address: 11448 SW 96TH AVE
Project: Solera, Lot 5 Subdivision: SOLERA Lot: 5
Project Description: Sewer connection for new SF.
Contractor: Owner: EVERETT CUSTOM HOMES
735 SW 158TH AVE
BEAVERTON, OR 97006
PHONE: PHONE: 503 - 750 -6268
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 11/12/2010 $4,100.00
Sewer Inspection - Residential 11/12/2010 $35.00
Type of Use: SF
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $4,135.00
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 t e 0 ` ..gon Utility Notification
Center. Tho rales a re set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of e �J'es or direct quell ions
to OUNC by calling 503. .1987 or 800.332.2344. `
Issued y: Permittee Signature: I /
Call 503.639.4175 by 7:00 a.m. for the next available inspection da e.
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.