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Permit
Cliv OF TIGARD SEWER CONNECTION „.. PERMIT DEVELOPMENT SERVICES ��=~� ~~~~�~" n�um~x� n ~��~nu�"��~�*� • PERMIT #. . . . . .. : SWR96-0460 • a�� - 1JL 13125 SN/ Hall Blv� Tigard, OR97223 8503>639-4171 DATE ISSUED: 11/12/96 PARCEL: 2S109BA-HS256-. SITE ADDRESS...: 13846 SW LEAH TERR -SUBDIVISJONc,-.`.-., • • HILLSHIRE SUMMI T #2 ' ' ^ ' ' -`. •` ' ZQNING:: R-7 ', -', PD `'. BLOCK ^ LOT— . ..... ....:56 _ _ _ _ _ __ TENANT NAME— ..:LHL CONSTRUCTION USA NO . . ^ ^- 4-- . FIXTURE UNITS...: 0 CLASS OF WORK— :NEW DWELLING UNITS..: 1 TYPE OF USE..!. . �:•5F ' ^. '^` ,"' ':. . • .^^ .`- ' ''/ NO..-- OF BUILDINGS: 1 INSTALL TYPE ^BUSWR IMPERV SURFACE: 0 sf . ' Remarks: Path ''1~ i. ,, . Ownert'^ .� .- .�� ,: � ' '.` ,`'� �- � . FEES~ -----/ LHL CONSTRUCTION type amount by date recpt 7110 SW' FIR LOOP :`' • ' - � ' ' • ^ ^. - `. PRMT''$ 2200.00 B 11/12/96 S6-286335 STE 160 INSP $ 35.00 B 11/12/96 96-286335 TIGARD OR 97223'' Phone #: 624-7714 Contractort - - . �°. CONTRACTOR NOT ON FILE . ' _. ___ _-� _----- - Phone #: $ 2235.00 TOTAL --• Reg #..: ' • '' ' ' ` ' . REQUIRED INSPECTIONS This-Applicant agrpe»tocomply�ith all the rules. and regulations. . , Sewer Inspection of the UnifiedScwage'Agoncy.' The permi�expiros'48N 'days from • • '' ^ the date issued. •Thetotal aount paid forfeited-if the — __ permit expires. 'The Agency does not 'guarantee the' accuracy of the'.• � ^ side sewer~latorals If the sewer^it '`. • • ` ' • ' ' givpd,' 'the -instal8or^shall'prospect 3/ feet aD''directfbns'fFom`• • '' - , .. .thp',distance`given:^tf!not':so/locatek: the- iosta}tershall pmrchase`-' �..- '', ' ' .. • ' .. ` . . , '.a`"T8o,and'Side , -lateral.- �. ' '�'. � ' . ^ . ' Permittee Si attire: , �� ^' .. � Issued By: 6--~. , Call for • inspection -- 639-4175 ,� ..