Permit •
CITY OF SEWER
PERMIT
CONNECTION
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT S UED: 0 / 5W95- 146
' DATE ISSUED: lL��l�! ^i. "95
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171
PARCEL: 2S114AD -00700
SITE ADDRESS...: 08981 SW WAVERLY DR
SUBDIVISION - WAVERLY ESTATES ZONING: R -12
BLOCK........... LOT..... ....... .:006
TENANT NAME.....:
USA NO........... 'FIXTURE UNITS.... '
CLASS OF WORK. ..: NEW DWELLING UNITS..: 1
TYPE OF USE.....:SF NO. OF BUILDINGS:1
'INSTALL.. TYPE.... :BUSWR IMPERV SURFACE..': : sf •
Remarks: PATH I
Owners ---------
ROYAL OAKS DEV CO . type amount by date recpt
12096 SW ASPEN RIDGE DR PRMT $ 2200.00 B 04/21/95 -
INSP $ 35.00 B 04/21/95 -
TIGARD OR 97254
Phone #k: 639 -4869
Contractor: -------- __- ..- __.___-
CONTRACTOR NOT ON FILE
Phone #: $ 2235.00 TOTAL
Rep #... •
' REQUIRED INSPECTIONS -- - - -- --
This Applicant agrees to cooply with all the rules and regulations Sewer Inspection _____
of the Unified Sewage Agency. The, peroit expires i80 days froo ____` _____
the date issued. The total aoount paid will be forfeited if the _ ___ �_ _
__
peroit expires. The Agency does not guarantee the accuracy of the �,_, _�
side sewer laterals. If the'sewer is not located at the ceasureoent
given, the installer shall prospect 3 feet in all directions fron _ _ ____ _._ __ __ ' •
'the distance given. If not so located, the installer shall purchase __ ._ _____ _
a "Tap and Side Sewer' peroit and the Agency will install a lateral. __ ___
Per~ m i t: 'Lee S i. n a t �! r• e :! _�. - -__r _ . - -- _- _-- _---
Issued B y : -_ _ .. ._ -- - I_Jl�, ,VIQ (,/ ___.- - __ - __ -
. Call for inspection - 639 -4175 ' '
. 7 5-- . c2-(gLI .'