Permit - 4 CITY OF TIGARD SEWER CONNECTION PERMIT
111 COMMUNITY DEVELOPMENT Permit #: SWR2012 -00192
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/25/2012
Parcel: 2S 112BC 14700
Jurisdiction: Tigard
Site address: 14561 SW 82ND AVE
Project: Pac Rim Partition, Lot 3 Subdivision: 2007 -038 PARTITION PLAT Lot: 3
Project Description: Sewer Connection for new SF
Contractor: Owner: GALVIN, BEN L
16733 SW WRIGHT ST
BEAVERTON, OR 97007
PHONE: PHONE: 971- 275 -7788
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 10/25/2012 $4,665.00
Sewer Inspection - Residential 10/25/2012 $35.00
Type of Use: SF
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $4,700.00
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 180 days of issuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Ut • otification
Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0090. You may obtain a copy of the rules or •irect •uestions
to OUNC by call - • • . • 2.1987 or 1.800.332.2344.
Issued By: / Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project
Approved plans are required on the job site at the time of each inspection.