Permit CITY OF TIGARD
SEWER CONNECTION PERMIT
14 r� COMMUNITY DEVELOPMENT Permit #: SWR2009 -00097
Date Issued: 10/30/2009
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 1S125DC07200
Jurisdiction: Tigard
Site address: 7131 SW ASH CREEK CT
Subdivision: ASH CREEK ESTATES Lot: 5
Project: Ash Creek Estates
Project Description: Sewer connection for new SF
• FEES
Owner:
ASH CREEK PROPERTIES LLC Description Date Amount
12655 SW NORTH DAKOTA ST Sewer Connection Fee 10/30/2009 $3,600.00
TIGARD, OR 97223 Sewer Inspection - Residential 10/30/2009 $35.00
PHONE:
Contractor:
PHONE:
FAX.
Type of Use: SF
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $3,635.00
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 I w- -All -work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuan , or if work is sus -nded for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utili Notification Center. T •se rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or irect questions to OUNC • calli ,• 5o .246.6699 or 1.800.332.2344.
sued By: 0 1 / Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.