Permit CITY OF TIGARD •
R, DEVELOPMENT SERVICES SEWER CONNECTION
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT
PERMIT # SWR98 -0318
DATE ISSUED: 11/18/98
PARCEL: 2S1O4BD —WILO1
SITE ADDRESS...: 13635 SW WALNUT ST
SUBDIVISION :MLP98 -0008 WILSON ZONING: R -7
BLOCK LOT -001 JURISDICTION: TIG
TENANT NAME °WILSON LAND PARTITION
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: Connect existing house to existing lateral.
Owner: FEES - - - --
OTIS T CAGLE type amount by date recpt
1708 NW SLUMAN RD PRMT $ 2300.00 DEB 11/18/98 98- 310909
VANCOUVER WA 98665 INSP $ 35.00 DEB 11/18/98 98- 310909
Phone #:
Contractor:
OT IS CAGLE
1768 NW SLUMAN RD
VANCOUVER WA 98665
Phone #: 360 - 696 -1483 $ 2335.00 TOTAL
Reg #..
REQUI RED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspect ion
of the Unified Sewage Agency. The permit expires 180 days from Septic Tank Fi 11
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 -0880. You may obtain copies of
these rules o questions to OUNC by calling (503)246 -1987.
Issued 00442-444-)dil 4111110-41,,
P ermittee Signature:..i „Li i
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'Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
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