Permit O
CITY
% � ��� � DEVE SERVICES SE_WER
Blvd., Tigard, OR 97223 PERMIT # : SWR99 -0019
DAT'= ISSUED: 01/26/99
PARCEL: 2S1 '1 1 DA- --05400
SITE ADDRESS„ ..: 15230 SW PARKLAND TERR
SUBDIVISION .P PLEWOOD PARK NO. 2 ZONING: R -7 PD
BLOCK LOT •049 JURISDICTION: TIG
TENANT NPME -LEGEND HOMES
USA NO FIXTURE UNITS...: er
CLASS OF WORK...: NEW DWELLING UNITS..: 1
TYPE OF USE -SF NO. OF BUILDINGS: 1
INSTALL TYPE ^ LTPSWR IMPERV SURFACE: 0 sf
Remarks: Sewer connection for new single family dwelling.
Owner:
LEGEND HOMES type amount by date recpt
6900 SW HAINES PRMT $ 2300.00 GEO 01/2E/99 99-:312/;45
PLAZA 2, SUITE 200 INSP $ 35.00 GEO 01/26/99 99- 312445
TIGARD OR 97223
Phone #:
Contractor: - ----- -- - - - -•- --
OWNER
Phone #: $ 2335. 00 TOTAL
Reg #.. .
REQUIRED INSPECTIONS --
This Applicant agrees to comply with all the rules and regulations Sewer Inspection -
of the Unified Sewage Agency. The permit expires 189 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. _�� u � ___
ATTENTION: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR _ ____ y___
952- 091 -94110 through OAR 952- 9901-0989. You may obtain copies of _
these rules or direct questions to f 1K by c .ling (593)246 -1987.
Issued by: "±: Ti -� Permi.ttee Signature tite,
++ ++++ -F4-1- -vl- +A - Fi-++- I-+++++++++++++++++++-l-- I-- F-+- F + + +i- + + + + + + ++ + ++ + + ++ ++ + + + + + + + ++ r- F-F+ + ++
Call 639 - 4175 by 7:00 pr m. for an ir_pection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + +++ ++++ ++ ++
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6/8/99 Activities for Case #: SWR99 -00019
2:25:01 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
SWRA003 Application received 1/20/99 BON RECD GEO 1/22/99
SWRA008 Permit Created 1/22/99 GEO DONE GEO 1/22/99
SWRA705 Sewer Inspection 1/25/99 2/4/99 MS PASS MRS 2/4/99
SWRA070 Ready to issue 1/26/99 GEO PASS GEO 1/26/99 •
SWRA080 (F) Issue permit 1/26/99 GEO PASS DST 1/26/99
SWRA720 Case Finaled 3/29/99 AKJ PASS AKJ 3/29/99
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