Permit CITY OF TIGARD SEWER CONNECTION PERMIT
°.• COMMUNITY DEVELOPMENT Permit #: SWR2009 -00013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued:
Parcel: 1 S136DB02601
Jurisdiction: Tigard
Site address: 11606 SW PACIFIC HWY 250
Subdivision: Lot: 0
Project: Living Art Tattoo
Project Description: Install (3) lays„ move (1) sink, and (1) w /c. 0.4 EDU increase.
Owner: FEES
HWY 99 LLC Description Date Amount
2655 MARYLHURST DR Sewer Connection Fee 03/23/2009 $1,240.00
WEST LINN, OR 97068
PHONE:
Contractor:
POWER PLUMBING CO
PO BOX 19418
PORTLAND, OR 97280
PHONE: 503 - 244 -1900
•
FAX: 503 - 244 -8825
Type of Use: COM
•
Class of Work: ALT
Install Type: Building Sewer
Fixture Units: 6
Number of Dwelling Units:
Total $1,240.00
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 -0100. You may obtain a copy of the rules
Issued By: Permittee Signature: A 4 (,o n
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.