Permit CITY OF TIGARD SEWER CONNECTION PERMIT
a
o • COMMUNITY DEVELOPMENT Permit #: SWR2012 -00092
T f G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/19/2012
Parcel: 1 S125CAl2300
Jurisdiction: Tigard
Site address: 7415 SW CEDARCREST ST
Project: Lawrence Partition, Lot 1 Subdivision: 2008 -030 PARTITION PLAT Lot: 1
Project Description: New SF
Contractor: Owner: PAHLISCH HOMES INC
63088 NE 18TH STREET
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 other applicable
law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by th= Oreg• Utility Notification
Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of e rule.. or ect questions
to OUNC by " 32.1987 1.800.332.2344.
Issued B Permittee Signature: ,JA .1 i /
ti/ Its
Call 503.639.4175 by 7:00 a.m. for the next available inspection d. e _ .
This permit card shall be kept in a conspicuous place on the job site until corn • letion of the project.
Approved plans are required on the job site at the time of each Inspection.