Permit CITY OF T SEWER CONNECT
^ Ii , � �fi ��� � DEVELOPMET SERVICES PERMIT # PERMIT SWR97 -0428
— 13125 SW Hall Blvd., Tigard, ( )
DATE ISSUED: 12/22/97
PARCEL: 25111DA —APW14
SITE ADDRESS...:O86O2 SW LODI LN
SUBDIVISION ° APPLEWOOD PARK NO. 1 ZONING: R -7 PD
BLOCK LOT °014 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: New SFD
Owner : FEES - - --
LEGEND HOMES type amount by date recpt
6900 SW HAINES ST PRMT $ 2200.00 B 12/22/97 97- 301970
TIGARD OR 97223 INSP $ 35. B 12/22/97 97- 301970
Phone #:
Contractor : - - --
OWNER
Phone #: $ 2235.00 TOTAL
Re #.
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspect
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- ' through OAR 952 - 0001 -0080. You may obtain copies of
these rules or direct questions to OUNC by calling (503)246 -1987.
j Issued by Y1 Perm ittee Signature % 1 1 1 , o /, ,,G%-
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ ++