Permit CITY OFTIGARD
, . .
�,, , ,, DEVELOPMENT SERVICES SEWER CONNECTION
��'� I ` PERMIT
:. " 1 J.. � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 PERMIT # • SW R97 -0351
DATE ISSUED: 09/10/97
PARCEL: 2S1O4CD -10100
SITE ADDRESS...:1362O SW TRACY PL
SUBDIVISION •HILLSHIRE ESTATES NO. 2 ZONING: R -7 PD
BLOCK LOT •100 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 •BUSWR IMPERV SURFACE: 0 sf
Remarks: PATH 1: NEW PROPOSED SINGLE FAMILY DWELLING W /ATTACHED GARAGE.
Owner: FEES
WINDWOOD HOMES type amount by date recpt
14076 SW BENCHVIEW TERRACE QUN $ 290.00 B 09/10/97 97- 299088
TIGARD OR 97224 PRMT $ 2200.00 B 09/10/97 97- 299088
INSP $ 35.00 B 09/10/97 97- 299088
Phone #: EROS $ 64.00 B 09/10/97 97- 299088
ERPU $ 20.80 B 09/10/97 97- 299088
Contractor: ERPC $ 20.80 B 09/10/97 97- 299088
OWNER
Phone #: $ 2630.60 TOTAL
Reg #.. .
REQUIRED 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
952401-0810 through OAR 9524081-0080. You may obtain copies of
these rules or direct uestions to by calling (503)246 -1987.
Issued by: ,,,,,,,
_ ..___, Permittee Signature : 7 �
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Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day
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