Permit CITY OF TIGARD SEWER CONNECTION PERMIT
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- COMMUNITY DEVELOPMENT Permit #: SWR2010 -00161
1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/19/2010
TIGARD 13125 1S125DA05600
Jurisdiction: TIG
Site address: 6640 SW ALFRED ST
Project: SAARINEN Subdivision: Lot:
Project Description: Connect new SF to existing lateral of previous residence. Demo credits from BUP2009 -00016 applied.
Contractor: Owner: LUIS, RICHARD & CANDACE
6640 SW ALFRED ST
TIGARD, OR 97223
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Inspection - Residential 11/19/2010 $35.00
Type of Use: SF
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units:
•
Total $35.00
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. ose rules set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions
to OUN by calling 503.23: •r :40.332.2344.
Issu d By: 10 � � / Permittee Signature: �p �/
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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.