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Permit
. - ., CITY O F TIGARD SEWER CONNECTION . , A , DEVELOPMENT SERVICES �������o nmo�v� . w��~nx�v����* PERMIT ^ "��� 141. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PERMIT # : SW R97-0011 DATE ISSUED: 01/13/97 • PARCEL: 1S134DD-00700 SITE ADDRESS.;..: 10895 SW TIGARD'ST . SUB[}IVISION�:. . ~ : '``' ' ' , `, • ' ' • : • `''` ~/`� .' ' ' ZONING : R-4.5 BLOCK..........: LOT.............: � TENANT NAME. ....:BERNHARD • USA , NO „ ^ • ^` • '. • �.� ,.• ' ` • ''� ' FIXTURE UNITS. '^ : 0 . ' CLASS • OF WORK... :ALT ' DWELLING UNITS.;. : 1 TYPE OF USE ^SF , • . ._ .' ', ,' ,, • .' NO., OF BUILDINGS:' 0 • • INSTALL TYPE ~LTPSWR IMPERV SURFACE: 0 sf , ' Remarks: ' Must ' p, fill, ancL`cap/'septic 'tank;'.! Reimbursement district fees paid . O wner~: ' _. � `^.� _ . � _ . • .. . • . � , � . FEES` -- SCOTT BERNHARD type amount by date recpt 10895. SW, TIGARD, ST „ ':-_ , '., ` ” , , - ' ,':, pRMT'$ . 226N9 00'. ,JSD 01/13/97 97-288821 INSP $ 35.00 JSD 01/13/97 97-288821 TIGARD OR 97223 ' . ' Phan e • .~. . Cant ractot-:»' . `' ,, - - '.``. ,. . CONTRACTOR NOT ON FILE � � . � , .' ' Phone #: $ 2235.00 TOTAL Reg #..: ^.', - ., ' .. . ", ' • ':, . / ` • '�, _ '` ^. . _ ` REQUIRED INSPECT IONS . . _ .Thi�Applipant.agcoos,tocmpply-,,with.aUl the rules. and,rgulations .: .' Sewer'. Inspect i an ^^ ' ' .' / .' of tie, Unified ' The de?mit ires.,18N days from ° `• . . • ^ . •thedate°issued •Tho total amount.paid4i lle� kif.4h?'��|�, „ •';', ' ' �' ' ' `' _ _�”: ' ' ' ' '^'' ` ` ` ^'~ ^ ' permit expires , The Agency -does not ooarante the.• of•te� ■ : �, ^ • • .', ' • ~. side sewer -laterals:`lf the ' sewer jrmd,locat the measurement - ,, ' given, tho-installpr,shall prospect ]3 feet ioA8l'directions:•from ` !, ' the distance given. If 'not 'so located,, the ' staller all`purchas• ' , • _ ___ a "Tap and' Side lateral. �. _ ^ �N �=-' iii Permittee Si � � `� . `. `'�^ '' ' .� �' . . , ' ` `� . '� Issued °:. . 41-111m���` ~�- __ _____ ___ . / /.`^ : � , . .'. . � ~Call,for��inspecti'or '