Permit , CITY OF TIGARD SEWER CONNECTION PERMIT
{ 7 COMMUNITY DEVELOPMENT Permit #: SWR2011 -00152
Date Issued: 11/02/2011
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718 2439 Parcel: 2S111 BC01300
Jurisdiction: Tigard
Site address: 10150 SW VIEW TER
Project: Urn Subdivision: GREENBRIER Lot: 5
Project Description: Connect existing house to sewer service, approximately 35'
Contractor: Owner: UM, EUNKYU C & KWANG Y
10150 SW VIEW TER
TIGARD, OR 97224
PHONE PHONE: 503 - 620 -8287
FAX
FEES
Description Date Amount
Specifics: Sewer Connection Fee 11/02/2011 $4,500 00
Sewer Inspection - Residential 11/02/2011 $35.00
Type of Use: SF Reimbursement District Revenue 11/02/2011 $6,000 00
Class of Work: ALT
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $10,535 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. ose rules : e set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct q stions
to OUN by calling 503 23 1987 o .:00.332.2344.
Issu By: 4 1 ' Permittee Signature:
Call 503.639.4175 by 7 a.m. for the next available inspection d te.
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.