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Permit CITY TIGARD SEWER CONNECTION PERMIT ^YI DEVELOPMENT SERVICES PERMIT #: SWR99 -00069 " DATE ISSUED: 4/13/99 13125 SW Hall Blvd., Tigard, OR 972 ( 639 -4171 SITE ADDRESS; 13588 SW WHITEHALL LN PARCEL: 2S104DB -00400 SUBDIVISION: AMESBURY HEIGHTS ZONING: R -4.5 BLOCK: LOT: 004 JURISDICTION: TIG TENANT NAME: CASCADE WEST CONSTRUCTION CORP USA NO: FIXTURE UNITS: 0 CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: 0 Remarks: Sewer connection for SF residence. Owner: FEES CASCADE WEST CONSTRUCTION CORP Type By Date Amount Receipt 10445 SW CANYON RD PRMT DLH 4/13/99 $2,300.00 99- 314480 SUITE 103 INSP DLH 4/13/99 $35.00 99- 314480 BEAVERTON, OR 97005 Total $2,335.00 Phone: Contractor: CASCADE WEST CONSTRUCTION CORP 10445 SW CANYON RD STE 103 BEAVERTON, OR 97005 Phone:(M)887 -6853 Reg #: • Required Inspections Sewer Inspection • • This Applicant agrees to comply with all the rules and regulations 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 purchase a "Tap and Side Sewer' Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. Issued by: Permittee Signature: c99 Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day