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Permit
' '- S EMI, ='',R C ONN ECT I ON • , , C I . 1V OF .T I GAR D ': .- EiIvII'{' - PERMIT- SW -0233 :COMMUNITY' DEVELOPMENT; DEPARTMENT : , , • 13125:'SW Hall Blvd. Tigard,oiegon' 97223•'a1�. 9bIso31'..e'se' - '. 4171• - UP's L' ISSUED o 05/.. / 3 SITE. ADDRESS.. o- 14048''SW i =LI)EN DR ' '- PiaRCEL; ,as104BB- 041'00 ' SUBDIVISION . ,CASTLE, HILL - - - - " " - • ' ZONING; , BLOCK LOT. • .,': , ' ... ' ... ":026. .. • - . _.. -..L __5•_ - --- - , _- _ TENANT • . NA . . - . • •• Usn,,:NO FIXTURE UNITS... a CLf OF • WORK.. 5 NE W . ' - •• DWELLING UN I TS.. s'1 . TYPE' OF USE '-,SF : i • ' NO.'OF BUILDINGSi1 � <'. • •- , INSTAiLL• TYPE - BIJSWR . ', •IMPERV SURFACE...1 , s s+f• . , , . - . 'Remarks • PATH I - , , - • • ,Own e,r L. -- - -- —;� ` -• FEES - - — - . J. I' L. CONS RUCTION" .INC type amount , r.b'y • date • , i ^ecpt ... P.0':.BOX. 1633 '{. 'PRh'IT $ 2100...00 JN •@5/26/9,3 •, • • 10445 SW' Ci1NVON .RI;,. ' ' ' : INSF=' $ 35. 00 ;]'H 05/26/93 , BEAVERTON OR 9/075— 16 33 . , = Phone - 641 -7633 ', .,-;. - .. ,. • . .- • - ', , .. . . . Contractor: - _ - . - . ' 2�CI OR NOT ON FILE : .. • • ,; ; - -- _ - -•- - -- � - - - - -_ 4,..--,..,,--...-„,..1-;-,-.-- -- - -- - n - .ter- - � _ Pone #o 2135. @0 TOTA1: , ' • . - R'g #. . �' !� ' ' • , - REG?U I RED ' I NSPECT IONS . This Rpplidant agrees to cooply with all the rules and regulations Sewer„ In i'on� -y.•_� t , ', , • • ..of. - the tinired. Sewage- .Agency. • The perait expires leb days frog ' the ate issued: The : •a oount.,paid will h, e fo rfeited if the ' • • _ , • :pereit expires; The ,Agency does not guarantee the accurac • • of the ''• • , • side sewer: laterals.''If,the,''sewer'is not located at the ohasureoent - .t • , given, the ~installer .shall prospect' 3' feet in all directi ns• froo - .._ - . the distance given. If not so located,• the installer shall purchase - ; -' • - ., a °1'ap and Sewer" Permit and the i .envy will install a lateral. . • - • Rermittee • Signature ;;1-• A I • ..— . I ssue Sy. — ` ,..1-:... , ' . . ' Call. for inspection, r 639 -4175 ' y . • - t . •