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Permit
- 1 SEWER CONNECTION ' COY 'OF TIGARD. F>'IZi�11T • PERM S�JR93 -¢v52 COMMUNITY DEVELOPMENT DEPARTMENT. - ' • • 13125 a W Heil'Bivd. T igard; Oregon 91223.81;9i 503).859;4171 , ,• . 'DATE I S�;i,JED : ',•;�7`:%i..;'.;7/,93 ' • S i 7 E ADDRESS—.: 13776 SW JENN CT PARCEL': aS 1.•174•X!@ -HS 4 09 SURD I ;k,I S I UN ; . H I LLSH I RE ' , , • : Z O bi I NG i . R -7 . PD - • BLOCK LOT .09 09 .- . - • TENANT • NAM. . . , - : { , ',U:•;A' NO ' FIXTURE UNITS... • 1 .01- bS. F - ,WORK:,' -NEW ' , DWELLING UNITS. 11.1 ' , - ' • ' TYF'E OF USE SF ' '' • NO.' OF BUILD 1 NGS': - I TYPE.... ° I3USWR - . IIYW'ERv SURFACE.,,.,o % ''' : ..:.f ' ' Retoar - k er, _ - , _ . • Owr, e r : . -., • - - - _ • FEC=S ' • - - - - -- •- T:{- REGENCY -_,RE ENCY CO. ; • ' type amount by date recp� - • , 836' NICOLE C.T - • •'PRIT $' 211,Z10. 00 0 JH 05/27;/93,:" -• • WEEEI; Lcl Nr OR '97068 . ' ; . ;TKO.n • 4 • • . „ , • Cont actor . -- - - -__ti. __._ „ ThE `'RECiEN:_.Y CC • - : 9,36_ NH O E- [_'T - - -- _- _— _- '- __ --- r - . _ _.--- -- - •WEST L.INN •OR 9706&3. - - - Ptaone ' #: &66 - -' 1J24 _ - - , . • ' . . $ . 2a 35. 00 TOTAL ..,• ' • ice• - #. o} 69443 . • • .. ' . •. ' --- — - REGIU'IRED• INSPECTT :ONS - ---•- - - '� ' • Thi Applicant to cooply With all tiie•rules. and" regulahiens Sewer 'inspecti•on • ' • of the i'nifier Sewage Agency. The pernit expires 183 days frog _ . '7 .: .- • IT • the date issued. The total ano{inf, paid will be forfeited if the . • • - ' • oer3it'expires.' The Agency does net guarantee the accuracy of the. '•• _ • _ ' - - ' • side`sewer, laterals. If the seer 'is not located at the aeasureaent' , ' . ..g:ven;':the installer' shall prospect -3 feet' in all directions ;roe - _ ' • :. • • , a D1 sine distance given. If ,not so located, the installer shall purchase ' _ _ ; • pp and „Side Sewer",peroit and the Agency will install a_ lateral._ .. _ . , ' • P e rrilr •i t t e'e . Signature : — i . _._. �. _ • . .I ..._ _ • I Issued By •_— _ ' Call for. inspection - 639 -4175 • • • • . •• ;•, • , - . . . n ° 1 9 i , ' 5 • 1 — _ _ _ . ' _