Permit CITY � TIGARD
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.4- IL 13125 SN/ Hall Blv� Tigard, OR9Z223(503)W39-4/7/ PERMIT
PERMIT #.......: SWR98-0316
DATE ISSUED: 01/26/99
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, PARCEL: 15125CD-07900
SITE ADDRESS. ..:@9909 SW LANDAU PL
SUBDIVISI ON. ..�:TI8ARD WOODS ZONING: R-4.5
'BLOCK.......... LOT. ............:005 JURISDICTION: TIG
_ _________ _______________________________________ ____ _____
TENANT NAME. ....:TIGARD WOODS LOT 5 _
USA NO..........: FIXTURE UNITS...: 0
CLASS OF WORK...:NEW DWELLING UNITS..: 1
TYPE OF USE— ..:SF NO. OF BUILDINGS: 1
INSTALL TYPE. ... IMPERV SURFACE: 0 sf
Remarks: Single family detached, Path 1.
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Owner: --------------------- -------- FEES ---------
BEACON HOMES INC type amount by date recpt
9500 SW 125TH AVENUE PRMT $ 2300.00 JSD 01/26/99 99-312438
BEAVERTON OR 97008 INSP $ 35.00 JSD 01/26/99 99-312438
Phone #:
Contractor: -------
BEACON HOMES, INC
9500 SW 125TH AVE
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 18N 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 _ ____________ L _ ____
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 Sower" 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 DA _______ _____ _____. _
952-001-4»10 through OAR 952-M1-0080 You nay obtain copies of ___ _________
these rules or direct questions to- INC by calling 5N3
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Issued b -~-----^ _ Permittee Signature : ./L 4 I. � r
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' Call 639-4175 by 7:00 p.m. for an inspection needed the next business day
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