Permit SEWER CONNECTION
CITY OF TI GARD 'ER!�lIT PERe3ITe SWR95-0182
CD MMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 05/04/95
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171
PARCEL z 251 11AA- -GP057
SITE ADDRESOa n . 0 14341 SW SETH AVE
SUBDIVISION--; GREENSWARD PARK NO. 2 ZONING: R-4.5
BLwOK— .. n a. n n n. LCJTn n. a.. z a a a. n a 057
TENANT NAME--;
USf= NOsannn.anaan FIXTURE UNITS....
CLPSS CF DWELLING UNITS... 1
TYPE CF USE..a.a:SF NO OF DUILDINGSo1
IN1T :LL TYPE. n a . 0 2:,;SWR IMPERV SURFACE—; o ; s f
Remarks: PATH I
Owner; ---------------- ------
ROCEWC OD 'ONES INC type a.noLnt by date �•�._pt
7140 SW 209TH PRMT $ 2200.00 B 05/04/95 —
.,2 , VERTON OR 07007
Phone *: 642 -4049
CONTRACTOR NOT ON FILE
41 o $ 1235. @e TOTAL
R e J N .
- -° -- --- RESU I RED INSPECTIONS --.-
This P.ppl :ant agrees to 2ocply with all the rules and regulations Sewer Inspect inn
cf the Unified Sea ;e Rgency. The pereit expires 1bi, days froo
the date issued. The total ac nt paid will be forfeited if the
pzr=it expires. The Agency does guarantee the a:cur'acy of the —
side sewer laterals. If the eeit2r' is nct I :z8tsd at the oeas;Ireoent
given, the installer shall prospect 3 feet in all directions frac
t: distance given.. iF n t so l:catcd, the i "taller shall purchase
a "Tap and Side Sewer° 7ercit and the "' ency i 1tail
__ _
Per°.it Si natur
I s ed Dy u C(,�'�
Call for inspe&tion — 639-4175
q5 5-D(f7
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 39 -4171
Inspection:
A.....)
Footing Susp. Ceiling Sprink. Rough -in ppr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post /Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post /Beam Mech. .an. Sew =r Gas Line -Bldg.
Plbg. Underfloor "-in Dr -' Framing - Plumb.
Alarm' Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: s /(41' (F c -- Time: AM PM
Address: / 4 /3/ g g ' 5
Builder: Permit #: ?5 V
THE FOLLOWING CORRECTIONS ARE REQUIRED: 5(A q5'
•
Inspector, _� Date: 9
'PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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