Permit •
CITY OFTIGARD
,� DEVELOPMENT SERVICES SEWER CONNECTION
"/�.nir� i PERMIT
: � A
SW Hall Blvd., Tigard, OR 97223 503 639 -4171 PERMIT #.......: SWR98• -0025
DATE ISSUED: 02/20/98
PARCEL: 2611 1 DA -01600
SITE ADDRESS...: 08670 SW LODI LN
SUBDIVISION.. : APPLEWOOD PARK NO,. 1 - ZONING: R -7 PD
BLOCK.......... .....a °.....
LOT.. :G1E: JURISDICTION: TIG
TENANT NAME.....: LEGEND 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: New single family dwelling w /attached garage. Sewer connection
permit
Owner: - -• - - -- FEES -----
LEGEND HOMES type amount by date recpt
6300 SW HAINES PRMT $ 2200.00 JSD 0Z02/20/98 98-- 303478
TIGARD OR 97223 INSP $ 35.00 JSD 02/20/98 98-303478
Phone #:
Contractor: •-
' LEGEND HOMES CORP /MATRIX DEV.
PLAZA II. SUITE #200 .
6900 SW HAINES STREET '.
T I GARD OR 97223 -. ----
Phone #: 620-8080 • $ 2235.00 TOTAL
Reg L.: 000006
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-A01-0080. Yo r.y obtain copies of .
these rules or direct questions to OUNC calling (503)246 -1987.
- 7 —
Issued b y : % Permittee Signature: `d1'( -'
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Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
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