Permit CITY OF TIGARD SEWER CONNECTION PERMIT
1 1 ° COMMUNITY DEVELOPMENT Permit #: SWR2012 -00218
• T [GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/13/2012
Parcel: 1 S136CD01500
Jurisdiction: Tigard
Site address: 11660 SW PACIFIC HWY
Project: Tigard Bowl Subdivision: 2006 -016 PARTITION PLAT Lot: 3
Project Description: .63 EDU increase.
Contractor: Owner: POWERS PEARL LLC
11660 SW PACIFIC HWY
TIGARD, OR 97223
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: • Sewer Connection Fee 11/13/2012 $2,938.95
Type of Use: COM
Class of Work: ALT
Install Type: Building Sewer
•
Fixture Units:
Number of Dwelling Units: .63
Total $2,938.95
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable
law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if
work is s nded o . re the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification
Center. Those rules are s= f. • - is OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions
to OU C by calli g 503.232.1 • : or : r r 32.2344.
Is ued By: ( / Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection. •
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