Permit CITY OF TIGARD SEWER CONNECTION PERMIT
'! Z'; COMMUNITY DEVE LOPMENT Permits SWR2011 -00096
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 Date Issued 10/26/2011
Parcel 2S109AB18000
Jurisdiction TIGARD
Site address 13205 SW HOODVISTA LN
Project Highland Hills, Lot 9 Subdivision HIGHLAND HILLS Lot 9
Project Description Sewer connection for new SF
Contractor Owner MISSION HOMES NW
PO BOX 1689
LAKE OSWEGO, OR 97035
PHONE PHONE 503 - 381 -3753
FAX
FEES
Description Date Amount
Specifics • Sewer Connection Fee 10/26/2011 $4,100 00
Sewer Inspection - Residential 10/26/2011 $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 $4.135 00
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specially 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 through2- 001 -0090 You may obtain a copy of the rules or direct questions
to OU by calling 503 232 1987 or 1 800 332 2 -
Issueue d By. Permittee Signature
Call 503 35.417 i 0 a m for the next available inspection d - This permit card shall be kept in a conspicuous place on the job site until coo .. .tion of the project
Approved plans are required on the job site at the time of each inspection