Permit CITY OF TIGARD
A 740, DEVELOPMENT DEVELOPMENT SERVICES SEWER CONNECTION
-!� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT # P E RM I T • SW R97 -0424
DATE ISSUED: 12/08/97
PARCEL: 2S1O2CB -00302
SITE ADDRESS...: 13`85 SW PACIFIC HWY
SUBDIVISION -NORTH TIGARDVILLE ADDITION ZONING: C —G
BLOCK LOT •033 JURISDICTION: TIG
TENANT NAME •7 -11
USA NO •USA FIXTURE UNITS...: 1
CLASS OF WORK...: ALT DWELLING UNITS..: 0
TYPE OF USE •COM NO. OF BUILDINGS: 0
INSTALL TYPE •LTP IMPERV SURFACE: 0 sf
Remarks: refer to plumbing permit #PLM97 -0520
Owner: FEES
7 -11 type amount by date recpt
13285 SW PACIFIC HWY PRMT $ 0.00
TIGARD OR 97223
Phone #:
Contractor:
OWNER
Phone #: $ 0. TOTAL
Reg #..
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a °Tap and Side Sewer° Permit and the Agency will install a lateral.
ATTENTION: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OAR 952-0001-0080. You may obtain copies of
these rules or direct questions to O111C by calling (5031246 -1987.
Issued by: _Permittee Signature:_ /!
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Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
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