Permit •
CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit #: SWR2012 -00225
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/26/2012
Parcel: 1 S135DC00200
Jurisdiction: TIGARD
Site address: 11845 SW GREENBURG RD 220
Project: Spec Space Subdivision: TIGARDVILLE PARK Lot: 8
Project Description: .63 EDU increase
Contractor: Owner: TWO G'S REAL ESTATE LLC F
18395 WOOD THRUSH ST
LAKE OSWEGO, OR 97035
PHONE: PHONE: 503 - 684 -0550
FAX:
FEES
Description Date Amount .
• Specifics: Sewer Connection Fee 11/26/2012 $606:
Type of Use: COM
Class of Work: ALT
. Install Type: Building Sewer
Fixture Units:
Number of Dwelling Units: .63
•
Total $606.45
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty C• •es and all other applicable
law. All work will be done in accordance with approved plans. This permit will expire if work is not started i 180 days of iss -ce, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adop -. by he Oregon ity •tification
Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain - cop • the rules •r dire questions
to OUNC by calli • • $ 3.23 . • 987 o 801.332.2344.
Issued By ; '041,1"/A-01--b Permittee Signature: 81 j
Call 503.639.4175 by 7:00 a.m. for the next available insp= do date
This permit card shall be kept in a conspicuous place on the job site unti oft : •tion of the project.
Approved plans are required on the job site at the time of each inspection.