Permit SI=WtP LUNNLL I IUN
PERMIT
CITY OF T I GARD DATE 07/31/96 -0J32
COMMUNITY DEVELOPMENT DEPARTMENT
PARCEL: 2S 109AA —WH002
13125 SW Hell Blvd. Tigard, Oregon 97223.8199 (503 839 -4171
SITE ADDRESS...: 1`929 SW WILM LN
SUBDIVISION • WILMINGTON HEIGHTS ZONING: R -7
BLOCK • LOT •002
TENANT NAME
USA NO • FIXTURE UNITS...: 0
CLASS OF WORK...:NEW DWELLING UNITS..: 1
TYPE OF USE .SF NO. OF BUILDINGS: 1
INSTALL TYPE •BUSWR IMPERV SURFACE: 0 sf
Remarks: PATH I
Owner: FEES
SLS CUSTOM HOMES INC type amount by date recpt
P 0 BOX 1093 PRMT $ 2200.00 B 07/31/96 96- 282360
INSP $ 35.00 B 07/31/96 96- 282360
TUALATIN OR 97062
Phone #: 691 -9878
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 peroit 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 th Agency will install a lateral.
Permittee Signature ,,,,
Issued By: •�vl
Call for inspection — 639 -4175