Permit 14 r,� CITY OF TIGARD CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit #: SWR2009 -00017
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/03/2009
Parcel: 2S101DB00103
Jurisdiction: Tigard
Site address: 7360 SW HUNZIKER RD 105
Subdivision: Lot: 0
Project: Surplus Line Association of Oregon
Project Description: .1 EDU increase
Owner: FEES
HILLTOP BUSINESS CENTER LLC & Description Date Amount
HUNZIKER LLC, 9430 NW KAISER RD Sewer Connection Fee 04/03/2009 $310.00
PORTLAND, OR 97231
PHONE:
Contractor:
WESTERN PLUMBING
9460 SW TIGARD, AVE STE 101
TIGARD, OR 97223
PHONE: 503 - 639 -5296
FAX: 503- 684 -9015
Type of Use: COM
Class of Work: ALT
Install Type: Building Sewer
Fixture Units:
Number of Dwelling Units:
Total $310.00
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. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
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Issued By: j k�� yv �- ` A t [3 Permittee Signature: � A ,( QC, \ t / n
� r Call 503 1 . 66 () /t 3 b 7 a.m. for an inspection that business day. AVV
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.