Permit CITY TIGARD SEWER CONNECTION PERMIT
fi r ; , l n DEVELOPMENT SERVICES PERMIT #: SWR99 -00027
I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/13/99
SITE ADDRESS; 11899 SW TREEHILL CT PARCEL: 2S1106A -RED12
SUBDIVISION: REDWOOD VISTA ZONING: R -4.5
BLOCK: LOT: 012 JURISDICTION: TIG
TENANT NAME: FOUR D CONSTRUCTION CO
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
Remarks: Sewer connnection for a new single family.
Owner: FEES
FOUR D CONSTRUCTION CO Type By Date Amount Receipt
PO BOX 1577 PRMT GEO 4/13/99 $2,300.00 99- 314478
BEAVERTON, OR 97075 INSP GEO 4/13/99 $35.00 99- 314478
Total $2,335.00
Phone:
Contractor:
Phone:
Reg #:
Required Inspections
Sewer Inspection
This Applicant agrees to comply with all the rules and regulations 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 OA' 952 - 001 -0080.
You may obtain copies hese rules or direct questions to OUNC by calling (503) 24. '
•
Issued by: a=� - Permittee Signature: —
Call (503) 63 •-4175 by 7:00 P.M. for an inspection needed the ne /business ;ay