Permit CITY TIGARD SEWER CONNECTION PERMIT
2641 DEVELOPMENT SERVICES PERMIT #: SWR1999 -00213
'`�'` � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/03/1999
SITE ADDRESS; 09815 SW PIHAS CT PARCEL: 1S135CD -09300
SUBDIVISION: JACOB COURT ZONING: R -12
BLOCK: LOT: 001 JURISDICTION: TIG
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TENANT NAME: KIMCO PROPERTIES LTD
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: New SF - Path 1
Owner: FEES
Type By Date Amount Receipt
PRMT BON 11/03/1995 $2,300.00 99- 319523
INSP BON 11/03/1995 $35.00 99- 319523
Phone: Total $2,335.00
Contractor: •
Phone:
Reg #:
Required Inspections
Sewer Inspection
ORIGINA
This Applicant agrees to comply with all the rules and regulations 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, the installer shall purchase a "Tap and
Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted
by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987.
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Issued by: t - L-\ Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next • usiness . -