Permit CITY OF TIGARD SEWER CONNECTION PERMIT
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2 . COMMUNITY DEVELOPMENT Permit #: SWR2009-00101
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/29/2009
Parcel: 2S 102CCO2600
Jurisdiction: Tigard
Site address: 13885 SW 102ND AVE
Subdivision: FRELEON HEIGHTS NO.2 Lot: 12
Project: Gill
Project Description: Connect existing SF to sewer.
Owner: FEES
GILL, EDWARD W & Description Date Amount
CORYELL, JANET L, 13885 SW 102ND AVE Sewer Connection Fee 09/29/2009 $3,600.00
TIGARD, OR 97223 Sewer Inspection - Residential 09/29/2009 $35.00
PHONE:
Contractor:
OWNER
PHONE:
FAX:
Type of Use: SF
Class of Work: ALT
Install Type: Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $3,635.00
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 -0100. You may o. •'n a copy of the rules„
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. 4
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Issued By:
cc:f oD t_ v u ( �I . ^ Permittee Signature: 4r-/: � � .1�
C 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.