Permit 1
CITY OF TIGARD
:. �L t, DEVELOPMEN SERVI SEWERACONIECTION -4171 PERMIT # • SWR97 -0366
DATE ISSUED: 09 /25/97
PARCEL: 1S135AA -00900
SITE ADDRESS...:08950 SW LOCUST ST
SUBDIVISION -TOWN OF METZGER ZONING: R -4.5
BLOCK LOT •004 JURISDICTION: TIG
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: Install manufactured home. SDC credits for BUP97 -0372 demo permit.
Owner: FEES
BRETT WEINEL type amount by date recpt
9900 SW NORTH DAKOTA #4 INSP $ 35.00 JSD 09/25/97 97- 299550
TIGARD OR 97223 EROS $ 64.00 JSD 09/25/97 97- 299550
ERPU $ 20.80 JSD 09/25/97 97- 299550
Phone #: 624 -9792 ERPC $ 20.80 JSD 09/25/97 97- 299550
Contractor:
SCHAFFER NORTHWEST
JOHN SCHAFFER
10495 SE 86TH AVE
PORTLAND OR 97266
Phone #: 788 -0710 $ 140.60 TOTAL
Reg #..: 100601
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspect ion
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
952-961-0010 through OAR 952-1 You may obtain copies of
these rules or direct questio : o rii by calling (503)246 -1987.
c
Issued by• '� Permittee Signature: VO A ,
•
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Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day
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