Permit CITY TIGARD SEWER CONNECTION PERMIT
PERMIT #: SWR1999 -00252
,,�lln DEVELOPMENT SERVICES DATE ISSUED: 01/26/2000
• - 1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS; 11420 SW SHROPE CT PARCEL: 2S103AB -04600
SUBDIVISION: WALNUT GLEN ZONING: R -4.5.
BLOCK: LOT: 004 . JURISDICTION: TIG
TENANT NAME: RIVERSIDE HOMES
USA NO: FIXTURE UNITS: •
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection
Owner: FEES
RIVERSIDE HOMES Type By Date Amount Receipt
15480 NW GREENBRIER PKWY
STE 140 PRMT KJP 01/26/200C $2,300.00 00- 321406
BEAVERTON, OR 97006 INSP KJP 01/26/200C $35.00 00- 321406
Phone: 503- 645 -0986 Total $2,335.00
Contractor:
Phone: ORtGLNAL
Reg #:
•
Required Inspections
Sewer Inspection
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" 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 - 001 -0080.
You may obtain copies of these r ; les or direct questions to OUNC by calling (503) 246 -1987.
// Permittee Signature: 7
Issued by: / - � li�y�
•
Call (50 639 -4175 by 7:00 P.M. for an inspection needed the next business day
CITY TIGARD SEWER CONNECTION PERMIT
PERMIT #: SWR1999 -00252
,,�lln DEVELOPMENT SERVICES DATE ISSUED: 01/26/2000
• - 1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS; 11420 SW SHROPE CT PARCEL: 2S103AB -04600
SUBDIVISION: WALNUT GLEN ZONING: R -4.5.
BLOCK: LOT: 004 . JURISDICTION: TIG
TENANT NAME: RIVERSIDE HOMES
USA NO: FIXTURE UNITS: •
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection
Owner: FEES
RIVERSIDE HOMES Type By Date Amount Receipt
15480 NW GREENBRIER PKWY
STE 140 PRMT KJP 01/26/200C $2,300.00 00- 321406
BEAVERTON, OR 97006 INSP KJP 01/26/200C $35.00 00- 321406
Phone: 503- 645 -0986 Total $2,335.00
Contractor:
Phone: ORtGLNAL
Reg #:
•
Required Inspections
Sewer Inspection
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" 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 - 001 -0080.
You may obtain copies of these r ; les or direct questions to OUNC by calling (503) 246 -1987.
// Permittee Signature: 7
Issued by: / - � li�y�
•
Call (50 639 -4175 by 7:00 P.M. for an inspection needed the next business day