Permit CITY OF TIGARD SEWER CONNECTION PERMIT
` °'- COMMUNITY DEVELOPMENT Permit #: SWR2011 -00112
T IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/01 /2012
Parcel: 1 S133CA15500
Jurisdiction: Tigard
Site address: 11026 SW MALLOW TER
Project: Village at Summer Creek, Lot 78 Subdivision: Lot:
Project Description: Sewer connection for new SFA.
Contractor: Owner: CENTEX HOMES
ATTN: OCHSNER, JOHN
11241 SLATER AVE NE, STE 100
KIRKLAND, WA 98033
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 02/01/2012 $4,500.00
Sewer Inspection - Residential 02/01/2012 $35.00
Type of Use: SFA
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $4,535.00
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. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0090. You may obtain a copy of the rules or direct questions
to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 110 Permittee Signature: �M
Call 503.639. • t:00 a.m. for the next available inspection date. `
- This permit card shall be in a conspicuous place on th job site until completion of project.
Approved plans are required on the job site at the time of each inspection.