Permit CITY OF TIGARD SEWER CONNECTION PERMIT
• ° COMMUNITY DEVELOPMENT Permit #: SWR2012 -00035
Date Issued: 03/14/2012
TI GA R.D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S109AB12500
Jurisdiction: Tigard
Site address: 14216 SW ALPINE CREST WAY
Project: Alpine View, Lot 6 Subdivision: ALPINE VIEW Lot: 6
Project Description: Sewer connection for new SF
Contractor: Owner: LENNAR NORTHWEST INC
12013 NE 99TH ST #1650
VANCOUVER, WA 98682
PHONE: PHONE:
FAX: •
FEES
Description Date Amount
Specifics: Sewer Connection Fee 03/14/2012 $4,500.00
Sewer Inspection - Residential 03/14/2012 $35.00
Type of Use: SF
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
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Total $4,535.00
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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 mg 503. ' 2.1987 or 1.800.332.2344.
Issued . :y: a ,1 / Permittee Signature: � ,�
Call 503.639.4175 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.
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