Permit CITY OF TIGARD SEWER CONNECTION PERMIT
111 -
• COMMUNITY DEVELOPMENT Permit #: SWR2011 -00095
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/09/2012
Parcel: 2S109AB18100
Jurisdiction: TIGARD
Site address: 13185 SW HOODVISTA LN
Project: Highland Hills, Lot 10 Subdivision: HIGHLAND HILLS Lot: 10
Project Description: Sewer connection for new SF
Contractor: Owner: MISSION HOMES NW
PO BOX 1689
LAKE OSWEGO, OR 97035
PHONE: PHONE: 503 - 381 -3753
FAX:
FEES
•
Description Date Amount
Specifics: Sewer Connection Fee 03/09/2012 $4,100.00
Sewer Inspection - Residential 03/09/2012 $35.00
Type of Use: SF
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $4,135.00
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable
law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification
Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions
to OUNC by calling 503.232.1987 or 1.800.332.2344
Issued By: s _ • - ermittee Signature:
Call 503.6 rr 7:00 a.m. for the next available inspe j• -•
This permit card shall be kept in a conspicuous place on the job site unti completion of the project.
Approved plans are required on the job site at the time of each inspection.