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Permit • CITY OF TIGARD � DEVELOPMENT SERVICES SEWER CONNECTION Al, `� I PERMIT - '!� ° = 13125 SW Hall Blvd.,ligard,OR97223(503)639 -4171 PERMIT # SWR9B -03 8 DATE ISSUED: 12/14/98 PARCEL: 1S135AD -05100 SITE ADD RESS...: 1 0705 SW S I TKA ST SUBDIVISION -TRENT TERRACE ZONING: R -12 BLOCK LOT :001 JURISDICTION: TIG 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 a new single - family residence. Owner: -- FEES KIMCO PROPERTIES, LTD type amount by date recpt 22060 SE 442ND AVE PRMT $ 2300.00 DLH 12/14/98 98- 311493 SANDY OR 97055 INSP $ .35.00 DLH 12/14/98 98- 311493 Phone #: Contract or: OWNER Phone #: $ 2335.00 TOTAL Reg #... REM' RED INSPECTIONS This Applicant agrees to comply with all the rules and regulations Sewer Inspect i on 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 952-0001 -0080. You may obtain copies of these rules or direct questions to OIINC by calling (503)246 -1987. Issued b : Permittee Si nature: /- (;-- -1 - -----..-' 9 +++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ 8/24/99 Activities for Case #: SWR98 -00328 3:16:56 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes SWRA003 Application received 12/2/98 GEO RECD DLH 12/3/98 SWRA008 Permit Created 12/3/98 DLH DONE DLH 12/3/98 SWRA705 Sewer Inspection 12/3/98 1/12/99 TLP PASS TLP 1/12/99 SWRA032 DST Post - Review Completed 12/3/98 12/8/98 JSD PASS - JSD 12/8/98 Need contractor information before issuing permit. DLH SWRA070 Ready to issue 12/8/98 JSD PASS JSD 12/8/98 SWRA080 (F) Issue permit 12/14/98 DLH DONE DLH 12/14/98 SWRA720 Case Fineled - 3/11/99 VLN 3/11/99 • • • Page 1 of 1 • CITY OF TIGARD � DEVELOPMENT SERVICES SEWER CONNECTION Al, `� I PERMIT - '!� ° = 13125 SW Hall Blvd.,ligard,OR97223(503)639 -4171 PERMIT # SWR9B -03 8 DATE ISSUED: 12/14/98 PARCEL: 1S135AD -05100 SITE ADD RESS...: 1 0705 SW S I TKA ST SUBDIVISION -TRENT TERRACE ZONING: R -12 BLOCK LOT :001 JURISDICTION: TIG 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 a new single - family residence. Owner: -- FEES KIMCO PROPERTIES, LTD type amount by date recpt 22060 SE 442ND AVE PRMT $ 2300.00 DLH 12/14/98 98- 311493 SANDY OR 97055 INSP $ .35.00 DLH 12/14/98 98- 311493 Phone #: Contract or: OWNER Phone #: $ 2335.00 TOTAL Reg #... REM' RED INSPECTIONS This Applicant agrees to comply with all the rules and regulations Sewer Inspect i on 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 952-0001 -0080. You may obtain copies of these rules or direct questions to OIINC by calling (503)246 -1987. Issued b : Permittee Si nature: /- (;-- -1 - -----..-' 9 +++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++