Permit CITY TIGARD SEWER CONNECTION PERMIT
. PERMIT #: SWR2000 -00197
-- ; '.� Ij DEVELOPMENT r S o ERV SERVICES 639 -4171 DATE ISSUED: 8/11/00 •
13125 SITE ADDRESS; 09281 SW LOCUST ST PARCEL: 1S126DC -06700
SUBDIVISION: MLP96 -0014 PP1997 -124 ZONING: R -12
BLOCK: LOT: 003. JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 2
TYPE OF USE: SF NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Duplex address includes 9281 & 9283 SW Locust. Sewer connection credits for one connection
were given to this permit as the previous house on this lot was demolished.
Owner: FEES
LUNDMARK HOMES LLC Type By Date Amount Receipt
3381 COEUR D'ALENE DR
WEST LINN, OR 97038 PRMT RCP 8/11/00 $2,300.00 0004429
INSP RCP 8/11/00 $35.00 0004429
Phone: INSP RCP 8/11/00 $35.00 0004429
Total $2,370.00
Contractor:
Phone:
Reg #:
Required Inspections
Sewer Inspection
•
This Applicant agrees to comply with all the rules and regulations 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 - 001 -0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987.
Issued by: c.-e719/ // _ Permittee Signature: L
Call ( 13) 639 -4175 by 7:00 P.M. for an inspection needed the next business day