Permit CITY TIGARD O F ���°� 4441 4441
^! DEVELOPMENT SERVICES PLUMBING PERMIT
� � � � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PERM I T # • 8 / 9 99 -0077
DATE ISSUED: 03/18/99
COpy PARCEL: 1S134DA -10000
SITE ADDRESS...: SW TRACT 'H'
SUBDIVISION • DAKOTA MEADOWS ZONING: R -12 PD
BLOCK LOT •00H JURISDICTION:
!CLASS OF WORK..:OTR GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0
'TYPE OF USE •SFA WASHING MACH 0 BACKFLOW PREVNTRS..: 1
OCCUPANCY GRP..:R3 FLOOR DRAINS 0 TRAPS • 0
!STORIES • 0 WATER HEATERS • 0 CATCH BASINS • 0
FIXTURES LAUNDRY TRAYS • 0 SF RAIN DRAINS • 0
SINKS • 0 URINALS 0 GREASE TRAPS - 0
LAVATORIES • 0 OTHER FIXTURES • 0
TUB /SHOWERS...: 0 SEWER LINE (ft)...: 0
'WATER CLOSETS.: 0 WATER LINE (ft)...: 0
;DISHWASHERS • 0 RAIN DRAIN (ft)...: 0
Remarks: Installation of backflow prevention device. Location is in "Tract H ",
across the street from 11380 SW Thunder Terrace.
lOwner: FEES
:CONTOUR LANDSCAPING type amount by date recpt
;12485 SW TOOZE RD PRMT $ 15.00 DEB 03/18/99 99- 313799
: SHERWOOD OR 97140 SPCT $ 0.75 DEB 03/18/99 99- 313799
;Phone #:
Contractor •
CONTOUR LANDSCAPING INC
12485 SW TOOZE RD
SHERWOOD OR 97140
Phone #: 682 -1302 $ 15.75 TOTAL
Reg #..: 5698
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the RP/Backf low Prey
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 1:'. days of issuance, or if work is suspended for sore
than 188 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 9524801 -N10 through OAR 9524881-8088. You say
obtain copies of these rules or direct questions to OM by calling
(583)246 -1987.
Issued By: ', • mi 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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