Permit CITY OF TIGARD
DEVELOPMENT SERVICES SEWER CONNECTION
. .111* PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT # • SW R97 -0398
DATE ISSUED: 12/02/97
PARCEL: 25111DA —APWO8
SITE ADDRESS...:O8627 SW LODI LN
SUBDIVISION •APPLEWOOD PART. NO. 1 ZONING: R -7 PD
BLOCK LOT -008 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: New SFD
Owner: -- FEES
LEGEND HOMES type amount by date recpt
6900 SW HAINES ST PRMT $ 2200.00 B 12/02/97 97- 301366
TIGARD OR INSP $ 35.00 B 12/02/97 97- 301366
Phone #:
Contractor:
LEGEND HOMES CORPORATION
7160 SW HAZELFERN RD.
STE 100
•
TIGARD OR 97224
Phone #: 620 -8080 $ 2235.00 TOTAL
Reg #..: 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-w You may obtain copies of
these rules or direct .uestions to OUNC by calling (503)246 -1987.
Issued by: Permittee Signature: /
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Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
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