Permit - CITY OF TIGARD
I r vi :� DEVELOPMENT SERVICES SEWER CONNECTION
- �- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT
PERMIT # • SWR98- 0330
DATE ISSUED: 12/14/98
PARCEL: 15135AD -05300
SITE ADDRESS...:10775 SW SITKA ST
SUBDIVISION -TRENT TERRACE ZONING: R -12
BLOCK LOT -003 JURISDICTION: TIG
TENANT NAME •TRENT TERRACE LOT 3
USA NO FIXTURE UNITS...: 0
CLASS OF WORK...: NEW DWELLING UNITS..: 1
TYPE OF USE -SF NO. OF BUILDINGS: 1
INSTALL TYPE •LTPSWR IMPERV SURFACE: 0 sf
Remarks: Construction of single family detached, Path 1.
Owner: FEES
NEIL THOGERSON type amount by date recpt
9999 SW WILSHIRE ST #208 PRMT $ 2300.00 DLH 12/14/98 98- 311495
PORTLAND OR 97225 INSP $ 35.00 DLH 12/14/98 98- 311495
Phone #: (C)819 -6067
Contractor:
OWNER
Phone #: $ 2335.00 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
952 -001 -0010 through OAR 952 -0001 -0080. You may obtain copies of
these rules or direct questions to OUNC by calling (503)246 -1987.
Issued by. /ma Permittee Signature: ' 1,6
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Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
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