Permit CITYOFTIGAR.D
SEWER CONNECTION
DEVELOPMENT �'�m�~�.�n nm.�nm n ���nu~n����� PERMIT
AH�- A iL 13125 SW Hall Bhvd.. Tigard, ORg7223(503)6394/7Y PERMIT # ^ SWR98-0134
DATE ISSUED: 10/09/98 ,
' PARCEL: 1S126DC—LEH01
SITE ADDRESS...:09449 SW IVANA CT
SUBDIVISION....:LEHMANN SQUARE ZONING: R-12 PD
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :001 JURISDICTION: TIG
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TENANT NAME -ASIA PACIFIC 21, LLC
USA NO ^ FIXTURE UNITS...: 0
CLASS OF WORK...:NEW DWELLING UNITS..: 1
TYPE OF USE ^SFA NO. OF BUILDINGS: 1 .
INSTALL TYPE....:BUSWR IMPERV SURFACE: 0 sf
Remarks: Sewer connection for a new attached single family dwelling.
Owner: -------------------------- FEES ---
ASIA PACIFIC 21, LLC type amount by date recpt
19305 ROBIN COURT INSP $ 35.00 B 10/09/98 98-309871
#55
WEST LINN OR 97068
Phone #:
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Contractor:
ASIA PACIFIC 21, LLC
19305 ROBIN COURT .
#55
WEST LINN OR 97068 —
Phone #: 669-0958 $ 35.00 TOTAL
Reg #..: 001233
------- 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 so 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-m1-0010 through OR 952-0001-*^:0. You may obtain copies of
these rules or direct questions to OUNC by calling (503)246-1987. . _
Issued by:ff /' VW.y ---^ Permittee Signature
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Call 639-4175 by 7:00 p.m. for an inspection needed the next business day
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