Permit CITY OF TIGARD SEWER CONNECTION PERMIT
a COMMUNITY DEVELOPMENT Permit#: SWR2012 -00051
1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/15/2012
T G A 12 9 Parcel: 1 S136DCO2504
Jurisdiction: Tigard
Site address: 7275 SW DARTMOUTH ST 120
Project: Great Clips Subdivision: HUNTER POLLOCK NO.2 Lot: G
Project Description: .7 EDU CREDITS FROM PLM2012 -00056 APPLIED TO THIS PERMIT. ZERO BALANCE AS OF 3/15/2012.
Contractor: Owner: AMERICAN INDUSTRIES INC
1750 NW NAITO PARKWAY
PORTLAND, OR 97209
PHONE: PHONE: 503 - 478 -6603
FAX:
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FEES
Description Date Amount
Specifics:
Type of Use: COM
Class of Work: ALT
Install Type: Building Sewer
Fixture Units:
Number of Dwelling Units:
Total $0.00
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 503.2 2.1987 or 1.800.332.2344.
Issued By: ` Permittee Signature:
Call 503 APT. 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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