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Permit !_ • I ' .� . . ' SEWER CONNECT ION ' OF � CITY . . PERMIT #.. ....: - .R95-0196 0� ��UN� DEVELOPMENT DATE ISSUED; 05/30/95 13125 SW Hall Blvd. Tigard, Oregon 97223081ww 15031839:4171 • • PARCELa 16133CD—PD1I24 CITE ADDRE3S� . ' : 11826 SW TALLWOOD DR . . SUBDIVISION....: PEBBLECREEK II • ZONING:, R-25 ' BLOCK. . ,. . . � . . . . : • LOr. .. . . . . .. . . . . :24 � ' ____________ --- TENANT NAME.....: • USA NO..,.......: � FIXTURE UNITS...: . CLAS3 OF WORK. ..:KEW . DWELLING UNITC..:1 . TYPE OF USE.....:SF NO. OF BUILDINGS:1 !KSTALL TYPE....-:DU[WR ` IMPER; SURFACE..: :sf . • ' . Remarhs: joATH I � � • Owner: ----- FEES -- -- COSTA PACIFIC HOKES • type amount ,by date recpt 8625 SW 'CASCADE BLVD 44606 ' PRMT $ 2200.00 SW 05/30/95 — � I ��SP $ 35.0� SW �5�30�95 - SEAUERTOK OR 976)0C; . Phone #: 646-8688 . � � • • � • ' . • Contractor: ---- -------------------- CONTRACTOR NOT ON F.:LE ' . • . ______________ _ • ________ Phone 4: $ 2235.00 TOTAL • Reg #..: � '' • ' .„ ------- REQUIRED INSPECTIONS ------- This Applican t Egrpes to cooply with all the rules and . regulations Sevier Inspect ion _____ _ of the Unified Sewage Agency. The persit expires 12 days fron _• ___ • _ �. the date issued. The total szomd paid will be farfzited if the _______ __ __^• __ pernit expires. The Agency does not gdarcntwo the accuracy of tho _ � ___� __ ..._.,..........7.___., side SSW laterals. If the sear io located at the aeasa`elent ___ ___ given, the installer shall prospect J foet in all directions [roo . _�_________________, _______ the distance oivs. If not so located, the installer shall purchase ____ __________ ___________._________ a. "Tap and Side Sewer" Peoit and t�e Agency will install a latenal. ____ ________ ____�_�_,__ Pe�^mittea Signature: ------- _ -- ------- __ _ --------� I ssue d 8y : ~ V�� -----� ------- -- '=�_^_--_-_-_~_-~^-»�____'- ___�_ -__' ______ _________ -_-_---_-__- • . Cal l for� i nsp��ction - 639�4175. • • ' � . ' • • • . , . . ' - • • , ' • • . • � ��-- ��/ /C} | • J� c+��uy | / � . / .. � • � � }� � ! • ` • �