Permit l r CITY OF TIGARD SEWER CONNECTION PERMIT
l I 13 COMMUNITY DEVELOPMENT Permit #: SWR2011 -00137
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/06/2011
TIGARD Parcel: 2S112BD08400
Jurisdiction: Tigard
Site address: 14758 SW 79TH AVE
Project: Brittany Meadows, Lot 20 Subdivision: BRITTANY MEADOWS Lot: 20
Project Description: Sewer connection for new SF
Contractor: Owner: BARKHUFF, JORDAN
LI, TIANCONG
13450 SW CRESMER DR
TIGARD, OR 97223
PHONE: PHONE 503 - 841 -1323
FAX:
1 FEES
Description Date Amount
Specifics: Sewer Connection Fee 10/06/2011 $4,500 00
Sewer Inspection - Residential 10/06/2011 $35 00
Type of Use: SF
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $4,535 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. -. e r - are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rul-: or direct questions
to OUN r by calling 503.2 1987 800.332 2344.
Issue d By: , A._(_.1 Perm ittee Signature: //
Call 503.639.4175 by 7:00 a.m. for the next available inspection v e.
This permit card shall be kept in a conspicuous place on the job site until corn f etion of the project.
Approved plans are required on the job site at the time of each inspection.