Permit CITY OF TIGARD SEWER CONNECTION PERMIT
;' COMMUNITY DEVELOPMENT Permit #: SWR2011 -00121
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/16/2011
Parcel: 2S102CD02709
Jurisdiction: Tigard
Site address: 9715 SW OMARA ST
Project: MONNIE Subdivision: FREWING'S ORCHARD TRACTS Lot: PT 27 &
Project Description: Connecting existing home to sewer. Reimbursement district fees paid.
Contractor: Owner: MONNIE, HELEN C & MICHAEL D &
MONNIE, DEBRA L
9715 SW OMARA ST
TIGARD, OR 97223
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 08/16/2011 $4,500.00
Sewer Inspection - Residential 08/16/2011 $35.00
Type of Use: SF Reimbursement District Revenue 08/16/2011 $14,447.07
Class of Work: ALT
Install Type: Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $18,982.07
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 may obtain a copy of the rules or direct questions
to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: � • � rmittee Signature: a
Call 503.6 by :00 a.m. for the next available inspection date.
This permit card shall be kep 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.
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