Permit O F T I GARD — CI1Y
PERMIT # PERMIT SWR93-0476
COMMUNITY DEVELOPMENT DEJ*RTiVIBNT DATE ISSUED: 11/05/93
-13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171
PARCEL: 28104BB -06300
SITE ADDRESS...: 14127 SW STARDUST LN
SUBDIVISION • CASTLE HILL ZONING:
BLOCK • LOT -004
TENANT NAME •
USA NO..........: FIXTURE UNITS...:
CLASS OF WORK...:NEW DWELLING UNITS..:1
TYPE OF USE •SF NO. OF BUILDINGS:1
INSTALL TYPE •BUSWR IMPERV SURFACE..: :sf
Remarks: PATH I
Owner: FEES
WICKENS CONST INC type amount by date recpt
18317 SW FALLATIN LOOP PRMT $ 2200.00 JH 11/05/93 —
INSP $ 35.00 JH 11/05/93 —
ALOHA OR 97007
Phone #: 591 -1833
Contractor:
CONTRACTOR NOT ON FILE
Phone #: $ 2235.00 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 instal lateral.
Permittee Signature: r-- DJ.OA 1 ns - W
i'Ll
Issued By:
Call for inspection — 639 -4175
.f7 1 45 - 77 7
3/9/00 Activities for Case #: SWR93 -00476 •
1:02:38 PM
Assigned Hold Updated
•
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
SWRA007 Application received • BLT 10/26/93
SWRA010 Plan check by 10/26/93 BLT 10/26/93
SWRA020 Check for prd. restrict. 10/26/93 10/26/93 VG BLT 10/26/93 •
SWRA705 Sewer Inspection BLT 10/26/93
SWRA080 (F) Issue permit 11/5/93 JLH PASS JH 11/5/93
SWRA720 Case Finaled
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11/29/93 MS PASS MRS 11/29/93
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