Permit •
CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit #: SWR2012 -00014
T I G A RD 13125 SW Hall Blvd., Tigard.OR 97223 503.718.2439 Date Issued: 03/09/2012
Parcel: 1S 126DB05700
Jurisdiction: Tigard
• Site address: 9448 SW 92ND AVE
Project: Montage, Lot 28 Subdivision: MONTAGE Lot: 28
Project Description: Building 5. New SFA
Contractor: Owner: NW AREA INVESTMENTS LLC
11150 SW RIVERWOOD RD
PORTLAND, OR 97210
PHONE: PHONE: 503 - 387 -3777
FAX:
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FEES
Description Date Amount
Specifics: Sewer Connection Fee ' 03/09/2012 $4,500.00
Sewer Inspection - Residential 03/09/2012 $35.00
Type of Use: SFA • •
Class of Work: ALT •
Install Type: Line Tap and Building Sewer •
•
Fixture Units:
Number of Dwelling Units: 1
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- Total $4,535.00
Required Items and Reports (Conditions)
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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. -
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Issued By: / , • _ Permittee Signature:
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Call S ' Ctr k�� by 7:00 a.m. for the next available Inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.