Permit ,_
, A CITY OF TIGARD
. DEVELOPMENT T SERVICES SEWER CONNECTION
PERMIT # • SWR97 -0320
DATE ISSUED: 10/03/97
PARCEL: 251O9AB -06200
SITE ADDRESS...:13O71 SW STARVIEW DR
SUBDIVISION •FORAN ZONING: R -7
BLOCK LOT -004 JURISDICTION: TIG
TENANT NAME -ART HARVEY
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: SF — Path 1
Owner: FEES
ART HARVEY type amount by date recpt
PO BOX 506 QUL $ 210.00 GEO 10/03/97 97 -299761
BEAVERTON OR 97075 QUN $ 2 290.00 GEO 10/03/97 97- 299761
PRMT $ 2200.00 GEO 10/03/97 97- 299761
Phone #: INSP $ 35.00 GEO 10/03/97 97-299761
EROS $ 88.00 GEO 10/03/97 97- 299761
Contractor: ERPU $ 28.60 GEO 10/03/97 97- 299761
OWNER ERPC $ 28.60 GEO 10/03/97 97- 299761
Phone #: $ 2880.20 TOTAL
Reg #.. :
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspect ion
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
952/1110 through OAR 952101180. You may obtain copies of
these rules or direct questions to OUNC by calling (503)246 -1987.
/ — /
Issued by: ." 7G� Permittee Signature I ,i, .. ,, -, ,
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Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day
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