SWR1989-2023 F TURD C NO.: 8E892023
COMMUNITY DEVELOPMENT DEPARTMENT OREGON D TE ISSUED: 10/31/89
13125 S.W. Hall Blvd., P.O. Box 23397, Tigard, Oregon 97223, (503) 639 -4175 R I M. PMT . NO. 891975
JOB ADDRESS: 7257 SW KABLE LN B.218 USA NUMBER: 39105
TAX MAP /LOT 25112DB SUB: ORE BUSINESS PARK III LT: BK:
LAND USE: IL
LOT SIZE:
SECTION: 12 TWP: s RNG: w
WORK CLASS: NEW
USE TYPE: COMMERCIAL
The applicant agrees to comply with all rules and regulations of the Unified
Sewerage Agency. The permit expires 120 days from the date issued. The total
amount paid will be forfeited if the permit expires. The Agency does not guar-
antee the accuracy of the location 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.
INSTALL. TYPE: BUILDING SEWER IMPERVIOUS AREA:
FIXTURE UNITS: TENANT IMPROVEMENT: NO
DWELLING UNITS: 1
NO. OF BLDGS.: 1
FEES:
o Realty Assoc Pacific PERMIT $45.00
111 SW 5th ave CONNECTION CHARGE $1,250.00
E Portland Or 97204 LINE TAP INSTALL.
R PHONE 224 -6540
OTHER
o GREEN HOWARD
N H L GREEN CONSTRUCTION
R 111 SW FIFTH
A Portland OR 97204
T PHONE (503) 221 -0020
R REGISTRATION NO. Green TOTAL: $1,295.00
RECEIPT NO. /C 5 ep 2
This permit is issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes, zoning regulations REQUIRED INSPECTIONS
and all other applicable codes and ordinances, and it is hereby SEWER
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and
ordinances. The issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and
void if work is not started within 180 days, or if work is suspended or
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all required inspections are requested and approved.
Permitt-e Sig ature
Issued By: _ ` J CALL FOR INSPECTION 639 -4175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE