Permit 1 p ,! CITY OF TIGARD SEWER CONNECTION PERMIT
11 1- COMMUNITY DEVELOPMENT Permit #: SWR2010 -00159
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/11/2011
Parcel: 2S110DCO2400
Jurisdiction: Tigard
Site address: 11565 SW DURHAM RD 110
Project: Dr. Tollenaar - Chiropractic Clinic Subdivision: Lot: 0
Project Description: .2 EDU increase.
Contractor: Owner: MOODY 2005 TRUST
BY PAUL W & LINDA L MOODY TRS
9811 NE 114TH CIR
VANCOUVER, WA 98662
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 02/11/2011 $820.00
Type of Use: COM
Class of Work: ALT
Install Type: Building Sewer
Fixture Units: 3
Number of Dwelling Units: .2
Total $820.00
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 -0090. You may obtain a copy of the rules or direct questions
to OUNC by calling 503.23 1987 or 1.800.332.•
Issued By:�, -- .. -- — - `Permittee Signature:
Call 503.: b 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.