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Permit ,� CITY OF TIGAR SEWER CONNECTION PERMIT 114 * COMMUNITY DEVELOP Permit #: SWR2011 -00052 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/12/2011 Parcel: 25111 BA02106 Jurisdiction: Tigard Site address: 9835 SW INEZ ST Project: Walker Subdivision: INGEBRAND HEIGHTS Lot: 13 Project Description: Connect existing house to sewer service. Contractor: Owner: WALKER, SAMUEL JAY & JULIE LINDA 9835 SW INEZ ST TIGARD, OR 97224 PHONE: PHONE: 503 - 443 -6085 FAX: FEES Description Date Amount Specifics: Sewer Connection Fee 04/12/2011 $4,100.00 Sewer Inspection - Residential 04/12/2011 $35.00 Type of Use: SF Reimbursement District Revenue 04/12/2011 $6,000.00 Class of Work: ALT Install Type: Line Tap and Building Sewer Fixture Units: Number of Dwelling Units: 1 Total $10,135.00 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. Thos- . = 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 b ailing 503.232.1 • :7 • 8 • i 332.2344. Issue . By: , , 4/ � Permittee Signatu Call 503.639.4175 by 7:00 a.m. for the next available inspectio ate. 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. W CITY OF TIGARD SEWER CONNECTION PERMIT `•''� s COMMUNITY DEVELOPMENT Permit #: SWR2011 -00052 13125 SW Hall Blvd Tigard OR 97223 503.718.2439 Date Issued: 04/12/2011 TIGARD Parcel: 2S 111 BA02106 Jurisdiction: Tigard Site address: 9835 SW INEZ ST Project: Walker Subdivision: INGEBRAND HEIGHTS Lot: 13 Project Description: Contractor: Owner: WALKER, SAMUEL JAY & JULIE LINDA 9835 SW INEZ ST TIGARD, OR 97224 PHONE: PHONE: 503 - 443 -6085 FAX: FEES Description Date Amount Specifics: Sewer Connection Fee 04/12/2011 $4,100.00 Sewer Inspection - Residential 04/12/2011 $35.00 Type of Use: Reimbursement District Revenue 04/12/2011 $6,000.00 Class of Work: Install Type: Fixture Units: Number of Dwelling Units: Total $10,135.00 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is sus • - • • - • • more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. ose rules are -t forth in 0AR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OU • C by calling 503.232.19: .:4$.332.2344. Is ued By: / r /I r / Permittee Signature: Y 4's`"W/rl 'j44 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.