Permit CITY OF TIGARD
DEVELOPMENT SERVICES SEWER CONNECTION
PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 PERMIT # SWR98 - 0205
DATE ISSUED: 10/09/98
PARCEL: 1S126DC —LEHO6
SITE ADDRESS...:O9452 SW IVANA CT
SUBDIVISION °LEHMANN SQUARE ZONING: R -12 PD
BLOCK LOT °006 JURISDICTION: TIG
TENANT NAME °WINDWOOD HOMES
USA NO..........: FIXTURE UNITS...: 0
CLASS OF WORK. ..:NEW DWELLING UNITS..: 1
TYPE OF USE -SFA NO. OF BUILDINGS: 0
INSTALL TYPE - LTPSWR IMPERV SURFACE: 0 sf
Remarks: SFA — Path 1
Owner : • -•— FEES - - - --
WINDWOOD HOMES type amount by date recpt
14076 SW BENCHVIEW TERR PRMT $ 2300.00 B 10/09/98 98- 309875
TIGARD OR 97224 INSP $ 35.00 B 10/09/98 98- 309875
Phone #:
Contractor: --
OWNER
Phone #: $ 2335.00 TOTAL
Reg #..°
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If not . 50 located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will install a lateral.
ATTENTION: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 -0010 through OAR 952- '4w/-0080. You may obtain copies of
these rules or direct questions to OUNE by calling (503)246 -1987.
Issued by: ^—� Permittee Signature: w _
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Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
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