Permit [ _ _
SEWER CONNECTION
CITY � TI PERMIT #.......: SWR95-0111
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/14/95
13125 SW Hall Blvd. Tigard, Oregon 97223°6199 (503) 639-4171
PARCEL: 2S104BD-03400
SITE ADDRESS...: 12700 SW 135TH AVE
SUBDIVISION....: HANDY ACRES ZONING: R-6
BLOCK..........: LOT....... ...... :32
_______________________ _ _ ______ _____
TENANT NAME.....:
USA NO..........: FIXTURE UNITS...:
CLASS OF WORK...:NEW DWELLING UNITS..:1
TYPE OF USE .SF NO. OF BUILDINGS:1
INSTALL TYPE....:BUSWR IMPERV SURFACE-2 :sf
Remarks: PATH I •
Owner: ----- - - - --- FEES
JACK BATALIA type amount by date recpt
5626 SW TARA CT PRMT $ 2200.00 JD 06/14/95 95-266724
INSP $ 35.00 JD 06/14/95 95-266724
PORTLAND OR 97221
Phone #: 245-4270
Contractor: -- ----------
CONTRACTOR NOT ON FILE
_
Phone #: $ 2235.00 TOTAL •
Reg #..
REQUIRED INSPECTIONS --
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
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 feet in all directions from _____
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and -- igency l ' e ll a lateral.
/ _— - __ -
Permittee Si. -
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Issued : �
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Call for inspection - 639-4175
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection:
Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post /Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post /Beam Mech. i ikapp Gas Line -Bldg.
Plbg. Underfloor -ain Drain Framing - Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: 1 . �- cQ ( S Time:AM PM
Address: 10 - 7 0 a 1 3
Builder: 7$ 1 —' Si p 9 Permit #: S -) I l
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector Date: -_
PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE •
Call For Reinsp.