Permit CITY OF TIGARD
., ;, DEVELOPMENT SERVICES SEWER CONNECTION
1 2 13125 SW Hall Blvd., Tigard, OR97223 503 639 -4171 PERMIT #PERMIT SWR98 -0174
DATE ISSUED: 07/29/98
PARCEL: 2S109AB -06000
SITE ADDRESS...:13095 SW STARVIEW DR
SUBDIVISION •FORAN ZONING: R -7
BLOCK LOT -002 JURISDICTION: TIG
TENANT NAME •CLIFF WAIBEL
USA NO • FIXTURE UNITS...: 0
CLASS OF WORK...:NEW DWELLING UNITS..: 1
TYPE OF USE •SF NO. OF BUILDINGS: 1
INSTALL TYPE •BUSWR IMPERV SURFACE: 0 sf
Remarks: Sewer connection for new single family dwelling.
Owner: FEES
CLIFF WAIBEL type amount by date recpt
879 NW 10TH PRMT $ 2300.00 DEB 07/29/98 98- 307818
HILLSBORO OR 97124 INSP $ 35.00 DEB 07/29/98 98- 307818
Phone #:
Contract or:
C C WAIBEL CONSTRUCTION CO
879 NW 10TH
HILLSBORO OR 97124
Phone #: 640 -3110 $ 2335.00 TOTAL
Reg #..: 25454
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
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 OUNC by calling (503)246 -1987.
Issued y: a (12.41A1010 „sr,' Permittee Signature„sr,' L/ i_ L
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Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
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