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Permit 1 CITY OF T SEWER CONNECTION �,,,;d - , ,\ DEVELO SERVICES PERMIT i+,�I�'� PERM I T # • SWR96 -0537 ' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 11/27/96 PARCEL: 1S136CC —CH001 SITE ADDRESS...: 08332 SW PFAFFLE ST SUBDIVISION • CARRIAGE HOUSE APARTMENTS ZONING:. R -12 BLOCK LOT • TENANT NAME •CARRIAGE HOUSE APTS USA NO • FIXTURE UNITS•..: 0 CLASS OF WORK ° °° :NEW DWELLING UNITS• °: 12 TYPE OF USE •MF NO. OF BUILDINGS: 0 INSTALL TYPE •LTPSWR IMPERV SURFACE: 0 sf Remarks: Multi— family 12 unit apartment complex, Owner: FEES ANDREWS. MANAGEMENT. type , amount by date recpt 4000 SW KRUSE WAY #270 PRMT $ 26400.00 B 11/27/96 96- 287037 LAKE OSWEGO OR 97035 Phone #: 699 -8645 Contract or: CONTRACTOR NOT ON FILE Phone #: $ 26400.00 TOTAL Reg• #.. REQUIRED INSPECTIONS This Applicant agrees to comply with all the rules and regulations Sewer Inspect ion 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, th- aller shall purchase a "Tap.and.Side Sewer" Permit and t•• 'gency wi l install . late'. I' C Permittee Si nature: ■ile [/ i, A. Issued By: i111A0 ki / 1 4 1- --- / Call for inspection — 639 -4175 L Page No. 1 CASE HISTORY FOR CASE NO.: SWR96 -0537 ANDREWS MANAGEMENT 08332 SW PFAFFLE ST 04/25/98 Action Description Req/ Schd/ End/ Action Notes Diep By Update Upd Code Sent Done Done Date By - --- --- --- - ---- --- SWRA007 Application received / / / / 07/22/96 RECD JH 11/22/96 BON SWRA010 Plan check by / / / / 07/22/96 11/22/96 BON SWRA020 Check for prcl. restrict. 11/22/96 / / / / 11/22/96 BON SWRA080 (F) Issue permit / / / / 11/27/96 PASS B 11/27/96 BON SWRA705 Sewer inspection / / / / 04/10/97 PASS MS 04/10/97 MRS SWRA720 Case Finaled / / / / 04/10/97 PASS MS 04/10/97 MRS