Permit 'A ' CITY OF TIGARD SEWER CONNECTION PERMIT
a DEVELOPMENT SERVICES PERMIT #: SWR2002 -00094
`� I 13125 SW Ha Bll�vv T ard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/20/02
SITE ADDRESS;
SW , SANDRIDGE DR PARCEL: 2S105DD -PCO30
SUBDIVISION: PACIFIC CREST SUBDIVISION ZONING: R -7
BLOCK: LOT: 030 JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for new SF detached.
Owner:
FEES
D.R. HORTON HOMES T
5125 SW MACADAM AVE STE 145 Type By Date Amount Receipt
PORTLAND, OR 97201 PRMT CTR 2/20/02 $2,300.00 27200200000
INSP CTR 2/20/02 $35.00 27200200000
Phone: 503 - 222 -4151 Total $2,335.00
Contractor:
Phone:
Reg #:
Required Inspections
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" Perm
/./
Issued by: ,ct! Permittee Signature: - V • $41 K u,
Call (503) 689 by 7:00 P.M. for an inspection needed the ne • siness day