Permit .CITY OF TIGAIRD SEWER CONNECTION
PERMIT
PERMIT # • SWR94 -0051
COMMUNITY DEVELOPMENT DFEpt3:41111FI1IT DATE ISSUED: 02/22/94
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171
PARCEL: 2S114BB- 16000
SITE ADDRESS...: 10241 SW PICK'S CT
SUBDIVISION • RIVERVIEW ESTATES ZONING: R -7 PD
BLOCK • LOT -6
TENANT NAME •
USA NO FIXTURE UNITS...
CLASS OF WORK... :NEW DWELLING UNITS.. :1
TYPE OF USE - SF NO. OF BUILDINGS:1
INSTALL TYPE °BUSWR IMPERV SURFACE..: :sf
Remarks: PATH I
Owner: FEES
SKYLIGHT HOME BUILDERS CO type amount by date recpt
P 0 BOX 2315 PRMT $ 2200.00 JH 02/22/94 —
INSP $ 35.00 JH 02/22/94 —
LAKE OSWEGO OR
Phone #: 636 -2994.
Contractor:
CONTRACTOR NOT ON FILE
Phone #: $ 2235.00 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 1B® days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guar. ee the accuracy of the
side sewer laterals. If the sewer is pot 1.cated at the measurement
given, the installer shall prospect,3 fe in all directions from
the distance given. If not so locate, e installer shall purchase
a °Tap and Side Sewer" Permit and/t•e 'gency will install a lateral.
Permittee Signatur— Ii
Issued By:
sd Call for inspection — 639 -4175
6 21 1L 7 off/
6/1/99 Activities for Case #: SWR94 -00051
2:39:42 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
SWRA007 Application received BLT 2/7/94
SWRA01 Plan check by 2/7/94 BLT 2/7/94
SWRA020 Check for prd. restrict. 2/7/94 2/7/94 VG PASS BLT 2/7/94
SWRA705 Sewer Inspection 3/10/94 TLP PASS TLP 3/10/94
SWRA080 (F) Issue permit 2/22/94 JLH PASS JH 2/22/94
SWRA720 Case Finaled 3/10/94 TLP PASS TLP 3/10/94
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