Permit C O T I CARD SEWER EONITCT ION
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COMMUNITY DEVELOPMENT DEPARTMENT PERMIT. _ • . 5 WR93 -0
13125 SW Han Blvd. Tigard, Oregon 97223.81993(503))839 4171 DATE, ISSUED: 1 0 / 1 E / 9
. PARCEL: 2S 1 14BC -03400
SITE ADDRESS....: 10294 SW RIVERWOOD LN
' SUB IVISION� ... e RIVERVIEW ESTATES NO 2' • ZONING: R-7 PD
BLOCK........... LOT .............:071
TENANT :TAME.....: • .
USA NO........... FIXTURE . UNITS.. .
CLASS OF WORK... NEW DWELLING UNITS. . il.
T YFIE ' OF USE..... o SF NO. OF BUILDINGS 1
INSTALL TYPE. ... eSUSJ'WR IMPERV SUFIFACE'.. . : af
' . Remar I-Cs o PATH I '
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' Owner: —_ - - -• ,- ----- - - - - -- , -
Ll -1L CONSTRUCT ION 'type amount by ' date . " re apt
7 SW FIR LOOP PRMT $ 2200. 00 JH ' 10/12/93 12/93 -
.. SU7. TE'.1617i INSP ti 35.00 JF� 10/12/93 —
' T IGARD OR 97223 • . .
' Phorhe, .# 624' -77.14 .
' Contract or: . , -----------------
CONTRACTOR NOT 0I PI-LE - - _ _._- -- _ - -.
L UiV 1 Ri'YL 1 USi IN 1 4%!Ptl '
p'e'r an e t' t; 5 2235. 00 'TOTAL.. ,'
. Reg .. . • • ' .
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REQUIRED I NSP' ECT I ONS :.- .'- ';— ._- -_.
This Applicant agrees to cocply with all the rules and reoulatiens Sewer Inspect ion , _ •
cf the Unified Sewage Agency. The peroi$ expires 182 days fro° _
the date issued. The total ana:lr_t paid ui1i'be foFfeited if the
perZit egpives. The Age,cy does not guarantee the accuracy of the _
side server laterals. If the serer is not located at the neasarecent - _
given, the installer shall prospect 3 feet in all directions fro°
the distance given. If not• so located, the installer sha', p. rchase _ _ _ .-__ '
a 'Tap and Side Set,er" per °it and the Age• All to 1 a .aterai _
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Per mutes Sig+natituree -4 . _ __.
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I s,S�_red Bye •
CalI for inspection —. -4175 '
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