Permit CITY OF TIGARD SEWER CONNECTION PERMIT
-- COMMUNITY DEVELOPMENT Permit#: SWR2012 -00093
T [GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/19/2012
Parcel: 1 S125CAl2100
Jurisdiction: Tigard
Site address: 9335 SW 74TH AVE
Project: Subdivision: 2008 -001 PARTITION PLAT Lot: 2
Project Description: New SF
Contractor: Owner: PAHLISCH HOMES INC
63088 NE 18TH AVE, STE 100
BEND, OR 97701
PHONE: PHONE: 541 - 385 -6762
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 06/19/2012 $4,500.00
Sewer Inspection - Residential 06/19/2012 $35.00
Type of Use: SF
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
•
Total $4,535.00
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all o her applicable
law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 80 days o/issuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by t f Oregon •tility Notification
Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a cop, of •e rules direct questions
to OUNC by cal ' • • I . .1987 o 1.800.332.2344. ,
Issued =, : Permittee Signature: _' .4
Call 503.639.4175 by 7:00 a.m. for the next available inspection da _.
This permit card shall be kept in a conspicuous place on the job site until compl =tion o the project.
Approved plans are required on the job site at the time of each inspection.
•