Permit CITY OF TIGARD
'° CO1VIMUNITY DEVELOPMENT DEPARTMENT SEWER CONNECTION
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 PERM I T
PERMIT # • SWR96 -0211
�/ �
,,�`r Q 7 DATE ISSUED: 08/02/96
50101 -0 J � 7 "j ' " 7 14* RCEL : 1 S 133DN-FC019
SITE ADDRESS...: 13219 SW SUMMERWOOD DR
SUBDIVISION • g t ZONING: R -25
BLOCK LOT •019
TENANT NAME °BOWEN REAL ESTATE TO SELL
USA NO • FIXTURE UNITS...: 0
CLASS OF WORK...:NEW DWELLING UNITS..: S
TYPE OF USE °SF NO. OF BUILDINGS: 1
INSTALL TYPE °BUSWR IMPERV SURFACE: 0 sf
Remarks: SEWER PERMIT FOR 5 UNITS IN BUILDING #4 OR 5 DUBS
Owner: --- ---- - - - - -- -- - - --- FEES
MCM ARCHITECTS type amount by date recpt
1022 SW SALMON SUITE 350 PRMT $ 11000.00 JDA 08/02/96 96- 282471
INSP $ 35. 00 JDA 08/02/96 96- 282471
PORTLAND OR 97205
Phone #: 222-5757
Contractor: -- CONTRACTOR NOT ON FILE
Phone #: $ 1 1035. 00 TOTAL
Reg 4.. .
REQUIRED INSPECTIONS -- - - - - --
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 150 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 directi , r _
the distance given. If not so located, the 'I -.11- s =/ purcha-e _ _
a "Tap and Side Sewer" Permit and the y wil in- a late A ; J -
1= 'ermittee Signature: i •''�� _
_ �
Issued B y: y - - - - ----_-
Call for inspection - 639 -4175