Permit CITY OF TIGARD
DEVELOPMENT SERVICES SEWER CONNECTION
AL 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PERMIT #PERMIT SW R97 -0022
DATE ISSUED: 10/20/97
PARCEL: 281048A -16000
SITE ADDRESS...:13678 SW LIDEN DR
SUBDIVISION -CASTLE HILL NO.3 ZONING: R -12 PD
BLOCK LOT •190 JURISDICTION: TIG
TENANT NAME -DON MORISSETTE HOMES
USA NO • FIXTURE UNITS...: 0
CLASS OF WORK...:NEW DWELLING UNITS..: 1
TYPE OF USE •SF NO. OF BUILDINGS: 1
INSTALL TYPE •BUSWR IMPERV SURFACE: 0 sf
Remarks: Path 1
Owner: FEES
DON MORISSETTE HOMES type amount by date recpt
' 5000 SW MEADOWS RD PRMT $ 2200.00 B 10/20/97 97- 300188
LAKE OSWEGO OR 97035 INSP $ 35.00 B 10/20/97 97- 300188
DUN $ 290.00 B 10/20/97 97- 300188
Phone #: EROS $ 88.00 B 10 /20/97 97- 300188
ERPU $ 28.60 B 10/20/97 97- 300188
Contractor: -- ERPC $ 28.60 B 10/20/97 97- 300188
OWNER
Phone #: $ 2670.20 TOTAL
Reg #..
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 ::'/ Iii/ILL/AA Permittee Signature: _,JA1V��
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Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
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