Permit CITY OF TIGARD
v � DEVELOPMENT SERVICES SEWER CONNECTION
13125 SW Hall Blvd., Tigard, OR 97223 PERMIT
PERMIT # • SWR98 -0186
DATE ISSUED: 08/27/98
PARCEL: 2S1O9AB -05900
SITE ADDRESS...:131O3 SW STARVIEW DR
SUBDIVISION •FORAN ZONING: R -7
BLOCK LOT •001 JURISDICTION: TIG
TENANT NAME •WAIBEL, CLIFF
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 new single family detached dwelling.
Owner: FEES
CLIFF WAIBEL type amount by date recpt
879 NW 10TH PRMT $ 2300.00 JSD 08/27/98 98- 308642
HILLSBORO OR 97 124 INSP $ 35.00 JSD 08/27/98 98- 308642
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 rues are set forth in OAR
952 - 1, -0010 through OAR 952 -0001 r may obtain copies of
these rules or direct question 'UN •y calling (503)246 -1987.
/ 1/ 11/
Issued by: l _ Permittee Signature: `.�. �..
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Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
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