Permit SLWLK LUNNLU 11UN
CITY OF TIGARD PERMIT
PERMIT # SWR96 -0162
DATE ISSUED: 04/11/96
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 PARCEL: 25 104BA —C3133
SITE ADDRESS...: 13733 SW LIDEN DR
SUBDIVISION • CASTLE HILL NO. 3 ZONING: R -12 PD •
BLOCK • LOT -17,3
TENANT NAME •
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 I
Owner: FEES
DON MORISSETTE HOMES INC type amount by date recpt
5000 SW MEADOWS RD PRMT $ 2200.00 JMH 04/11/96 96- 278085
SUITE #151 INSP $ 35.00 JMH 04/11/96 96- 278085
LAKE OSWEGO OR 97035
Phone #: 620 -7538 •
Contractor: .
CONTRACTOR NOT ON FILE
Phone #: $ 2235.00 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 ARri. I%
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement I Or
given, the installer shall prospect 3 feet in all directions from V
the distance given. If not so located, the : er shai. purchase
a "Tap and Side Sewer" Permit and the inst. a lateral.
Permittee Signature: +"iig __
Issued By: - . . /. �.. . . it
1 , Call for inspection — 639 -4175