Permit r
CITY OF TIGARD
SEWER CONNECTION
��1 A DEVELOPMEN RSER SERVICES PERMIT # PERMIT SWR99-0002
. DATE ISSUED: 01/19/99
PARCEL: 1S135AD -05600
SITE ADDRESS...:10730 SW SITKA ST
SUBDIVISION -TRENT TERRACE_ ZONING: R -12
BLOCK LOT •006 JURISDICTION:
TENANT NAME • KIMCO PROPERTIES, LTD
USA NO • FIXTURE UNITS...: 0
CLASS OF WORK... :NEW DWELLING UNITS.. : 1
TYPE OF USE -SF NO. OF BUILDINGS: 1
INSTALL TYPE •LTPSWR IMPERV SURFACE: 0 sf
.Remarks: Sewer connection for single family dwelling.
Owner: --- - - - - -- - - -- ---------------------------- FEES
KIMCO PROPERTIES, LTD type amount by date recpt
22060 SE 442ND AVE PRMT $ 2300.00 JSD 01/19/99 99-312279
SANDY OR 97055 INSP $ 35.00 JSD 01/19/99 99- 312279
Phone #:
Contractor: - •------ - - - - -• -----
Phone #: $ 2335.00 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 188 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 - '0 through OAR 952 -8091 -0080. You may obtain copies of -
these rules or direct questions to OUNC by calling (503)246 -1987. - _
--- fir t- ' //
Issued by: ,4 - Permittee Signature:‘ .
/ :!-
++++++++++- I-+++++++++++++++++++++++++- F+ +- F + + + + + + + + + + + + + + + + + + + + + + + + + + ++ -F + + + + + + + -F + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + +-F + + ++
r
CITY OF TIGARD
SEWER CONNECTION
��1 A DEVELOPMEN RSER SERVICES PERMIT # PERMIT SWR99-0002
. DATE ISSUED: 01/19/99
PARCEL: 1S135AD -05600
SITE ADDRESS...:10730 SW SITKA ST
SUBDIVISION -TRENT TERRACE_ ZONING: R -12
BLOCK LOT •006 JURISDICTION:
TENANT NAME • KIMCO PROPERTIES, LTD
USA NO • FIXTURE UNITS...: 0
CLASS OF WORK... :NEW DWELLING UNITS.. : 1
TYPE OF USE -SF NO. OF BUILDINGS: 1
INSTALL TYPE •LTPSWR IMPERV SURFACE: 0 sf
.Remarks: Sewer connection for single family dwelling.
Owner: --- - - - - -- - - -- ---------------------------- FEES
KIMCO PROPERTIES, LTD type amount by date recpt
22060 SE 442ND AVE PRMT $ 2300.00 JSD 01/19/99 99-312279
SANDY OR 97055 INSP $ 35.00 JSD 01/19/99 99- 312279
Phone #:
Contractor: - •------ - - - - -• -----
Phone #: $ 2335.00 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 188 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 - '0 through OAR 952 -8091 -0080. You may obtain copies of -
these rules or direct questions to OUNC by calling (503)246 -1987. - _
--- fir t- ' //
Issued by: ,4 - Permittee Signature:‘ .
/ :!-
++++++++++- I-+++++++++++++++++++++++++- F+ +- F + + + + + + + + + + + + + + + + + + + + + + + + + + ++ -F + + + + + + + -F + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + +-F + + ++