Permit CITY OF TIGARD SEWER CONNECTION PERMIT
'' COMMUNITY DEVELOPMENT Permit #: SWR2011 -00076
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/18/2011
Parcel: 2S102CC00700
Jurisdiction: Tigard
Site address: 13599 SW PACIFIC HWY •
Project: Nevaeh Designs Subdivision: FREWINGS ORCHARD TRACTS Lot: 15
Project Description: .8 EDU increase.
Contractor: Owner: HORTON, DENNIS M & ELISABETH A
19220 VIEW DR
WEST LINN, OR 97068
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 05/18/2011 $3,280.00
Type of Use: COM
Class of Work: ALT
Install Type: Building Sewer
Fixture Units:
Number of Dwelling Units: .8
Total $3,280.00
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. The : - -re 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 calling 503.23' 198 •r 1 80 0.332.2344.
Issued y: / 4
: , j Permittee Signature:
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 complet of project.
Approved plans are required on the job site at the time of each inspec on.