Permit CITY OF TIGARD SEWER CONNECTION
PERMIT
MIT # SWR94 -0134
COMMUNITY DEVELOPMENT DgeARTIIIIOT DATE ISSUED: 04/19/94
13125 SW Halt Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171
• PARCEL: 2S104BB -01600
SITE ADDRESS...: 14359 SW WINDSONG CT
SUBDIVISION ° CASTLE HILL ZONING: R -12 PD
BLOCK ° LOT °051
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
HAROLD BRIDGMAN type amount by date recpt
6317 SW 188TH CT PRMT $ 2200.00 SW 04/19/94 —
INSP $ 35.00 SW 04/19/94 —
ALOHA OR 97
Phone #: 649 -3210
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 188 days from
the date issued. The total amount paid will be forfeited if the
perait 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. /
Permit tee Signature: 'i,, �
Issued By:
Call for inspection — 639 -4175
�S 1316