Permit I -- -
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, ' CI TI RD / SEER CONNECTION CITY
• COMMUNITY DEVELOPMENT DEPARTMENT �����
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1»1nsawmu/�� ��B�n��.r��.c��n 97223
639-4175 ` � /, PERMIT
PERMIT # ^ SW R92-01 1 1
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639-4171 DATE ISSUED: 09/22/92
SITE ADDRESS...: 16030 SW 103RD AVE PARCEL: 2S114BB—RV1
SUBDIVISION ~ RIVERVIEW ESTATES ZONING: R-7 PD
BLOCK ^ LOT ^1
TENANT NAME :
USA NO : FIXTURE UNITS...:
CLASS OF WORK EW DWELLING UNITS.. :1
' TYPE OF USE... NO. OF BUILDINGS:1
INSTALL TYPE. IMPERV SURFACE..: :sf
Remarks:
Owner: -- -- -/ — FEES
SKYLIGHT |�ME BUILDERS CO type amount by date recpt
P O BOX 2315 PRMT $ 2100.00 JH 09/18/92 —
INSP $ 35.00 JH 09/18/92 —
LAKE OSWEGO OR 9 035 '
Phone #: 503—. — 2
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Contractor
CONTRACTOR IT ON FILE
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Phone #: $ 2135.00 TOTAL
Reg #..:
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspect ion
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the •
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 f'• in all directions from
the distance given. If not so located t'' installer shall purchase
a "Tap and Side Sewer" Permit and t ' ^'ency will install a lateral.
Permittee Si A ^~
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Issued By: 2 C/
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Call for inspection — 639-4175
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6/6/00 Activities for Case #: SWR92 -00111
2:10:40 PM
Assigned Hold Updated
Activity Description Date I . Date 2 Date 3 To Done By Disp. Level By Updated Notes
SWRA007 Application received BLT 3/23/92
SWRA010 Plan check by • 3/23/92 BLT 3/23/92
SWRA020 Check for prcl. restrict. 3/23/92 0 PASS BLT 3/23/92
SWRA705 Sewer Inspection • BLT 3/23/92 .
SWRA080 (F) Issue permit • 9/21/92 JLH PASS JH 9/18/92
SWRA085 (F) Reprint.Permit 9/22/92 JH 9/22/92
SWRA720 Case Finaled 10/1/92 MS PASS MRS 10/2/92
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