Permit -- _.
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PERM IT
PERMIT #.......: SWR96-0061
' cny oF � DATE IGSUED: 03/1g/96
COMMUNUTYDEVELOPMENTDEPARTMENT
PARCEL: 15125DA-CE003
131 . Tigard, Oregon _
SIT.:.. A�}DR�,S. . . : (..3b55 SW .|Inu��-��
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SUDDIvISIQN"...: CHARLES ESTATES ZONING R-4.5
[}LCCK. ... . . . . . . : LO� .. .. . . .. .. .. i
-- ------- -- ----- ------ ---- ---------- ----- --------'-------- ---------`
TENANT NAME.....:
'...;SA NO.........^: FIXTURE UNITC...: 0
CLACS CF WORK.".:NEW DW[LLINC UNITS..: 1
TYP': [}F UGE. . . . . :SF NO OF BUILDINGS: 1
IMOTW_L TYPE....:DU3WR IMPERV CURFACE 2 yf
Remar:..csz PATE-, I
Owner: ------------------------- ------------ ------- FEEC --------------
TOM RO3ERS CONCT. type amount by date �'ecpt
P 0 BOX 83152 PRMT $ 2200.00 BON 03/19/96 96-277192
' IKCP $ 35.00 ACN 03/19/96 06-277=
PORTLAND OR 97260
Phone #: 684-1193
Co,ntractcr. -- - ^ ' --- - ''-- ----- --' -
CONTRACTOR NOT ON FILE
___________________________________
Phone #: $ 2O35.00 TOTAL
Peg #..
------- REQUIRED INCP7CTION2 -------
This Applice2t agree to cocply with all the rules and r.egulatima Sewer Inspect __
of the Unified Sewage Apncy. The porsit mrpire ice days hno ___ � ___
the date isse-S. The total aoomt paid will be forfeiteii if the ___ _________
po-cit expires. The Agency due not gLarante the a±:rary cf the __ ____
side sewer laterals. If ths sewer is not located at the measorecont ___ _ ._
given, tfe irmtaller stall prospect J feet in all directions from _________ __ _
the distance given. If not so located, the installer shall purchase ____ ________ ___
a "Tap and Bide SEWEr Paroit and the g t _ _ �__ ____ _____
»^ __-__-__.__-__
��aroittee G __ - _____ -__- --�
__ ���� ��� �����
Iss:c� 1
EPAkai � __ ____
.
Call for inspection _ 639-4175
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