Permit • CITY OF TIGARD SEWER CONNECTION PERMIT
2 COMMUNITY DEVELOPMENT Permit #: SWR2012 -00071
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/25/2012
Parcel: 2S 109AB 15100
Jurisdiction: Tigard
Site address: 14261 SW ALPINE CREST WAY
Project: Alpine View, Lot 32 Subdivision: ALPINE VIEW Lot: 32
• Project Description: New SF
Contractor: Owner: D.R. HORTON INC
4380 SW MACADAM AVE SUITE 100
PORTLAND, OR 97239
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 04/25/2012 $4,500.00
Sewer Inspection - Residential 04/25/2012 $35.00
Type of Use: SF
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
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 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 Orego• Uti : Notification
Center. Tho • . are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy .f the rul:. or di - • questions
to OUNC b, calling 503. 12.198 •r .800.332.2344.
Issue. By: ` �1.„ � Permittee Signature: 06/L4 AL.4.4i11116. Oir
Call 503.639.4175 by 7:00 a.m. for the next available inspection •
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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