Permit CITY OF TIGARD SEWER CONNECTION PERMIT
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• COMMUNITY DEVELOPMENT Permit #: SWR2012 -00048
T f GAR O 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/03/2012
Parcel: 2S108AB05300
Jurisdiction: Tigard
Site address: 14173 SW 155TH TER
Project: Brentwood Estates, Lot 15 Subdivision: BRENTWOOD ESTATES Lot: 15
Project Description: New SF
Contractor: Owner: SUN RIDGE BUILDERS INC
14912 SW SUMMERVIEW DR
TIGARD, OR 97224
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 04/03/2012 $4,500.00
Sewer Inspection - Residential 04 /03/2012 $35.00
Type of Use: SF
Class of Work: ALT
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $4,535.00
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 wit 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 503.23 or 1.800.332.2344.
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Issued By: t'&17 , I Permittee Signature: Ar
Call 503.639.4175 by 7:00 a.m. for the next available ins tion date.
This permit card shall be kept in a conspicuous place on the Job until completion of the project.
Approved plans are required on the job site at t ime of each inspection.