Permit n
CITY OF TIGARD SEWER CONNECTION PERMIT
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' ' .. " COMMUNITY DEVELOPMENT Permit #: SWR2009 -00088
Date Issued: 09/22/2009
Ti GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639 4171 Parcel: 2S112BD10100
Jurisdiction: Tigard
Site address: 7887 SW WEBBER LN LN
Subdivision: Lot: 0
Project: Brittany Meadows
Project Description: Sewer connection for new SF
FEES
Owner:
KEYSTONE - WEBBER JOINT VENTURE Description Date Amount
PO BOX 476 Sewer Connection Fee 09/22/2009 $3,600 00
LAKE OSWEGO, OR 97035 Sewer Inspection - Residential 09/22/2009 $35.00
PHONE
Contractor:
PHONE:
FAX
Type of Use: SF
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $3,635 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
Utility Notification Center Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100 You may obtain a copy : e ru e
or direct questions to OUNC by calling 503.246.6699 or 1.800 332 2344.
Issued By:(' Ca
Ce4 , _ / - Permittee Signature: 6 -
Call 503.639.4175 by 7:00 a.m. for an inspection that business
This permit card shall be kept in a conspicuous place on the job site until comple ion of the project.
Approved plans are required on the job site at the time of each inspection.