Permit SEWER CONNECTION
CilY t
P *
OF TIGARD _ PERMIT
SWR _ 9 _
^CITI 5 -1 257
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COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSI EDt 07/31/55
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171
PARCEL: 191260C-01107
SITE ADDRESS... 09637 SW WASHINGTON SQUARE RD
SUBDIVISION....: ZONING: C —G •
BLOCK..........: LOT ..............
TENANT NAME . SBARRO
USA NO........... FIXTURE UNITS...:28
CLASS OF WORK... :TEN DWELLING UNITS.. 02
TYPE OF USE., ... e COM NO. OF BUILDINGS:
INSTALL TYPE : BUSWR IMPERV SURFACE..: s f
Remarks: Food Court Restaurant
O w n e r : —• — — •---- • - - - - -- FEES - - --
SBARRO •— type amount by date recpt
9637 PRMT f; 4400.00 J'D 07/31/93 95- 268698
SW WASHINGTON SQ. RD.
TIGARD. OR
Phone 1*
Contract or u - - -- -- ---
CONTRACTOR NOT ON FILE
Phone 3 44210. 00 TOTAL
l ea *.. .
— - -- -- — REQU I RE7,
N - --
This Applicant agrees to cooply with all the rules and regulations Sewer Ins ��ct
of the Unified Sewage fluency. The peroit expires i8 days froc
the date issued. The total aoount paid will be forfeited if the
percit expires. The Agency does not guarantee the a_cura :y of the
side sewer laterals. If the sewer is not located at the oeasureoent _
giver,, the installer shall prospect 3 feet in all directions fro:
the distance given. If not so located, the installer shall purchase
a 'Tap and Side Se: ;er° Peroit and the Agency will install a lateral. _ --
Perm ittae Sirgnat1 re a
Ar
Call / for inspection — 639 -4175
SEWER CONNECTION
CITY' OF TiG4RD i= gERMI,
PERMIT #..... ° ° : SWR9 5 -0257
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/01/95
13125 SW Hall Blvd. Tigard, Oregon 97223.9199 (503) 639 -4171
PARCEL: 151260+C- 01107
SITE ADDRESS...: 09637 SW WASHINGTON SQUARE RD
SUBDIVISION ZONING: C —G
BLOCK LOT
TENANT NAME °SBARRO
USA NO ° FIXTURE UNITS... :28
CLASS OF WORK..° :TEN DWELLING UNITS.. : 2
TYPE OF USE ° COM NO. OF BUILDINGS:
INSTALL TYPE....: BUSWR IMPERV SURFACE..: e s f
Remarks: Food Court Restaurant
Owner: -- — • - - - -- FEES - -- - - - --
SBARRO — type amount by date recpt
9637 PRMT fi 4400.00 JD 07/31/95 95- 268698
SW WASHINGTON SQ. RD.
TIGARD. OR
Phone #:
Contractor: -- — —
CONTRACTOR NOT ON FILE
Phone #: $ 44.00. 000 TOTAL
Reg
- -- - - -- -- REQUIRED INSPECTIONS -- • - - - - --
This Applicant agrees to cooply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The peroit expires lard days fro: Case F i na l ed
the date issued. The total acount paid will be forfeited if the
peroit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not Ionised at the oeasurepent
given, the installer shall prospect 3 feet in all directions fro:
the distance given. If not so located, the installer shall purchase
a "Tap an Side Se:er' Percit and the Agency will install a lateral.
Permittee Signature: — -
Issued By
Call for inspection — 639 -4175
�s- ace 8‘.
_ _