Permit V CITY OF TIGARD SEWER CONNECTION PERMIT
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`r ' °' - COMMUNITY DEVELOPMENT Permit #: SWR2012 -00210
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/17/2012 r.
Parcel: 2S 101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 310
Project: Cascade Management Subdivision: VARNS ACRES Lot: 9
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Project Description: .38 EDU Increase
Contractor: Owner: GK TRIANGLE CORPORATE PARK III L •
BY THOMSON REUTERS INC A
ATTN: MEGAN DOWLING
PO BOX 130174
CARLSBAD, CA 92013 .
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee - 10/17/2012 $1,772.70
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Type of Use: COM
Class of Work: ALT
Install Type: Building Sewer
Fixture Units:
Number of Dwelling Units: .38
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Total $1,772.70
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Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable
law. All work will be done in accordance with approved plans. This permit will expire if work is not started within :: • of issuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopte• •y the Oregon Utility Notification
Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a •py of the rules o direct questions
to OUNC by • ng • - 232.1987 or 1.800.332.2344.
Issued By ' , / Permittee Signature:
t 0 / / /,
Call 503.639.4175 by 7:00 a.m. for the next available inspecti •,oaf
This permit card shall be kept in a conspicuous place on the job site until c. pl = io F the project.
Approved plans are required on the job site at the time of each inspection. .