Permit .CITY OF TIGARD SEWER CONNECTION PERMIT
''1 a COMMUNITY DEVELOPMENT Permit #: SWR2012 00175
T IGAREI 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/05/2012
Parcel: 1 S125DA10400
Jurisdiction: Tigard
Site address: 9425 SW 70TH AVE
Project: Panutich Subdivision: 1994 -061 PARTITION PLAT Lot: 1
Project Description: Sewer connection for new SF. SDC credits from demolition permit MST2012 -00207 applied to this permit.
Contractor: Owner: PANUTICH, ALEXANDER V & ELENA FA
9520 NW CAXTON LN
PORTLAND, OR 97229
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Inspection - Residential 09/05/2012 $35.00
Type of Use: SF
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
•
Total $35.00
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable
law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification
Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy • - e rules or direct • • •pions
to OUNC b a ling 50 . .1987 • • .800.332.2344.
Issued By: , /: / / � r Permittee Signature: //
Call 503.639.4175 by 7:00 a.m. for the next available inspectio�
This permit card shall be kept in a conspicuous place on the job site until c. • etion of the projec
Approved plans are required on the job site at the time of each inspection.