Permit SEWER CONNECTION
PERMIT
OF �
PERMIT 44 ^ SWR94-0172
COMMUNITY DEVELOPMENT DEPARTMfNT
l�"�� oe DATE ISSUED: 05/25/94
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PARCEL: 2S104CA-11900
SITE ADDRESS...: 13696 SW WESTRIDGE TERR
SUBDIVISION ^ HILLSHIRE ZONING: R-7 PD
BLOCK..... ^ LOT ..:119
-------------------- ------------------------- ----------------------
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
Owner: -- ------- ------------- ------- FEES ---------
B MAREK type amount by date recpt
P 0 BOX 7157 PRMT $ 2200.00 SW 05/25/94 -
INSP $ 35.00 SW 05/25/94 -
ALOHA OR 97007
Phone #: 591-5448
Contractor: -----------------------------
CONTRACTOR NOT ON FILE - — ''
------------------------------------
Phone #: $ 2235.00 TOTAL
Reg #..:
------- REQUIRED INSPECTIONS -
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 180 days from
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 ! rchase
a "Tap and Side Sewer" Permit and the AUen_ ill in lateral.
P itt Si t ^� �*�
Per tee gna ure: ' / ���y� --'__-____-_'_---_
Issued By:
Call for inspection - 639-4175
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