Permit •
CITY OF TIGARD
hi SEWER CONNECTION
'��l' DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd., Tigard, OR 97223(503) 639 -4171 PERMIT # • SWR98 - 0845
DATE ISSUED: 10/15/98
PARCEL: 2S109AB -06900
SITE ADDRESS. . . :13114 SW STARVIEW DR
SUBDIVISION •FORAN ZONING: R -7
BLOCK LOT •011 JURISDICTION: TIG
TENANT NAME •
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: Single family detached, Path 1.
Owner: FEES
SHARONE O'MARA type amount by date recpt
2 OSWEGO SUMMIT PRMT $ 8300.00 JSD 10/15/98 98- 310033
LAKE OSWEGO OR 97035 INSP $ 35.00 JSD 10/15/98 98- 310033
Phone #:
Contractor:
OWNER
Phone #: $ 2335.00 TOTAL
Reg #.. .
REQUI RED 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 -'' through OAR 952-0001 -0880. You may obtain copies of
these rules or direct questions to OUNC calling (503)246 -1987.
Issued by• �.I Permittee Signatumixdprd
r
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Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
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