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Permit
CITY OF TIGARD SEWER CONNECTION PERMIT COMMUNITY DEVELOPMENT it Permit #: SWR2011 -00029 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 b© 4 Date Issued: 04/01/2011 Parcel: 2S110CB10400 Jurisdiction: TIGARD Site address: 15444 SW ARLINGTON TER Project: Arlington Heights No. 3, Lot 92 Subdivision: ARLINGTON HEIGHTS NO. 3 Lot: 92 Project Description: Sewer connection for new SF. 5/3/11, reprinted to add owner information. Contractor: Owner: STONE BRIDGE HOMES 16869 SW 65TH AVE #505 LAKE OSWEGO, OR 97035 PHONE: PHONE: 503 - 387 -7577 FAX: FEES Description Date Amount Specifics: Sewer Connection Fee 04/01/2011 $4,100.00 Sewer Inspection - Residential 04 /01/2011 $35.00 Type of Use: SF Class of Work: NEW Install Type: Line Tap and Building Sewer Fixture Units: Number of Dwelling Units: 1 Total $4,135.00 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 Notification Center. 'se rules ar- -t forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OU. by callin. 503.232.19: . .:0' . 2.2344. . / I-- ued By: � ki # Permittee Signature: e9 Call 503.639.4175 by 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. CITY OF TIGARD SEWER CONNECTION PERMIT : COMMUNITY DEVELOPMENT Permit #: SWR2011 -00029 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/01/2011 Parcel: 2S110CB10400 Jurisdiction: TIGARD Site address: 15444 SW ARLINGTON TER Project: Arlington Heights No. 3, Lot 92 Subdivision: ARLINGTON HEIGHTS NO. 3 Lot: 92 Project Description: Sewer connection for new SF Contractor: Owner: PHONE: PHONE: FAX: FEES Description Date Amount Specifics: Sewer Connection Fee 04/01/2011 $4,100.00 Sewer Inspection - Residential 04/01/2011 $35.00 Type of Use: SF Class of Work: NEW Install Type: Line Tap and Building Sewer Fixture Units: Number of Dwelling Units: 1 Total $4,135.00 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 Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You ma - . - •py of the r - . direct questions to OUNC by calling 503.232.1987 or 1.800.332 4 . Issued By _ - � / _ _ -�,,::.....-- ermittee igrtat re: 4 i 1111 11 , �� Call 51 . by :00 a.m. for the next available inspection date. This permit card shall be kepnfra conspicuous place on the job site until completion e project. Approved plans are required on the job site at the time of each inspection.