Permit •
CITY OF T SEWER CONNECTION
PERMIT
4t1 ,i; DEVw LOPMEN SERVICES PERMIT # : SWR96 -0535 Hall Blvd., Tigard, 0 ( )639 -4171 DATE ISSUED: 12/26/96
PARCEL: 1S136CC —CH001
SITE ADDRESS...: 08388 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 with attached garage
Owner : - - - - - -- — FEES —
ANDREWS MANAGEMENT LTD type amount by date recpt
4000 SW KRUSE WAY #270 PRMT $ 26400.00 B 12/23/96 96- 288067
LAKE OSWEGO OR 97035
Phone it: 639 -3645
Contractor:
CONTRACTOR NOT ON FILE
Phone #: $ 26400.00 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 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 e ins shall purchase
a "Tap and Side Sewer" Permit and t'• Agency wi install a lateral.
C
Permittee Signa re: or
Issued B mt
Call for inspection — 639 -4175
Page No. 1 CASE HISTORY FOR CASE NO.: SWR96 -0535
ANDREWS MANAGEMENT LTD
08388 SW PFAFFLE ST
04/25/98
Action Description Req/ Schd/ End/ Action Notes Disp 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 / / / / 12/26/96 PASS JSD 12/26/96 CTR
SWRA705 Sewer Inspection / / / / 02/10/97 PASS MSS 02/12/97 MRS
SWRA720 Case Finaled / / / / 02/10/97 PASS MS 02/12/97 MRS
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