Permit , t
CITY OF TIGARD SEWER CONNECTION PERMIT
111 u
. I "'- COMMUNITY DEVELOPMENT Permit #: SWR2009 -00022
'T AGAR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/12/2009
Parcel: 2S112BD10200
Jurisdiction: Tigard
Site address: 14660 SW 79TH AVE
Subdivision: BRITTANY MEADOWS Lot: 38
Project: Brittany Meadows
Project Description: New SF
FEES
Owner:
WEBBER PROPERTIES LLC Description Date Amount
12155 SW WILDWOOD ST Sewer Connection Fee 05/12/2009 $3,100.00
PORTLAND, OR 97224 Sewer Inspection - Residential 05/12/2009 $35.00
PHONE:
Contractor:
PHONE:
FAX:
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Type of Use: SF
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $3,135.00
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 the Oregon
Utility Notificatio EeriteY }T rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the • es
Issued B k i?J2f2... Permittee Signature: r 14___--
Call 503.639.4175 by 7:00 a.m. for an inspection that busines day.
This permit card shall be kept in a conspicuous place on the job site until coml ion he project.
Approved plans are required on the job site at the time of each inspection.