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Permit f - • C I • :OF T I G,AR® ' • • • . SEWER CONNECTION ' •COM.MUNITY DEVELOPMENT - DEPARTMENT' . , 'ERfvf I ' ' • 13125 SW H all Blvd. Tigard,'Oregon 9722368199 (503) 039 -4171 ' , - PERMIT T , ° SWR93 — t1lV.i7 Y 63-3- •49.7:, - , 't DATE ISSUED: 014/20/93 ' • SITE . ADDRESS.. 0 1,1 E624 ;SW 126TH AVE PARCEL,; 1$133 DD- '0t3;3@+ SUBDIVISION VILLAGE AT SUMfviER• LAKE , .PARK. '4 .' ZONI'NGe R -7.4.3 - ' BLOCK LOT • °,120 , . • USA •,NO... ° . . : „, - . • FIXTURE •UNITS° ... ` ' . . ' ' . - , CLASS •':OF WORK... a NE W • ' ' • • . DWELLING UN I TS..: 1 ' ' , ' ' TYPE' OF, - USE • °,SF - • ' NO. 'OF BUILDINGS :1 . . . • INSTALL, `;'YPE. : BIiSWR' I,MPER'd SURFACE_.... - t sr.., • - • Remarks PATH. I - . , - • - •'O n•er� -- ' '_ -. - -'— ' Y r•'. DON: MOR-ISSETTE HOMES type amounts oy ` orate . r,ecpt • ?. f5553 SW RANGY . RD ' PRMT $ c f ol. Oo .3H 04/20/93 -- - i `- ' . INSP $ 3'5.0 ...11-1 04/20/93 -' LAKE OSWEGO OR , 97035 - • Ph o ire #t . 6,20-76 - - - , . Cont'r'act' or __- _._ _- CONTRACTOR NOT - 0 - Fl FI'L'E ,- y _ —_ _ Pholia i*e • : $ ' 13.5` otg_ TOTAL • - • • Reg • #... • - . . ._ ,. ..- . ' - • REQUI;RED. •T,NSPECT IONS --- - - - - -- 'This Applicant agrees (o coepiy -iith ali,the rules and regulation , Swer Inspection . -. - . , of the - Unified Sewage Agency. The peroit expires 18C days frao _ . '- . . - " ' the date issued. The total- .aoodnt paid will be forfeited if the • . , peroit'expires. The Agency does - not guarantee the accuracy of the ,• - _ side sower ,laterals. If the sewer is not located at the oeasu-eneni - - oiven the installer- shall pros'ect 3 ht - in all directions frao, - • . . ' distance given. If not so located, -th inst'ailer shall purchase - ° a 'Tap and Side Sewer" perei and the 'Rger a lateral. .- '_ '' ' Permittee Sigriat''.ere: .c - • - - . - .. ' Issued By. ^�. ` +. - ,' • 4 _ . . . f ,'� ' • Call fo.r, .in'specti'on —:.•089-417:5' .. ' • . -I .3 ' - ' - �� ,, _ _