Permit 41‘ CITY OF TIGARD
SEWER CONNECTION
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DEVELOPMENT SERVICES PERMIT #PERMIT • SWR98 -0287
DATE ISSUED: 12/02198
PARCEL: 1S 15CD —TIG08
SITE ADDRESS... :09879 SW LANDAU PL
SUBDIVISION °TIGARD WOODS ZONING: R -4.5
BLOCK LOT.. ....... ....:006 JURISDICTION: TIG
TENANT NAME °BEACON HOMES, INC
USA NO • FIXTURE UNITS...: 0
CLASS OF WORK... :NEW DWELLING UNITS..: 1
TYPE OF USE •SF NO. OF BUILDINGS: 1
INSTALL TYPE.... :LTPSWR IMPERV SURFACE: 0 sf
Remarks: Sewer connection for new single family detached dwelling.
Owner: ---------- ____. FEES -----
BEACON HOMES, INC type amount by date recpt
9500 SW 125TH AVE PRMT $ 2300.00 DLH 12/02/98 98- 311237
BEAVERTON OR 97008 INSP $ 35.00 DLH 12/02/98 98- 311237
Phone #:
Contractor:
BEACON HOMES
9500 SW 125TH
BEAVERTON OR 97008
Phone #: 524 -1999 $ 2335.00 TOTAL
Reg #..: 000707
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 -001 -0010 through OAR 952 - 0001 -0080. You may obtain copies of
these rules or direct questions to OUNC by calling (503)246 -1987. ,
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Issued by: i1_ ,' i 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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