Permit 5�wte� LUl'N•_L, I IUiy
PERMIT
L I lY )I- T I GARD DATE ISSUED: 03.;1 1 /96 -0073
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd- Tigard, Oregon 97223.8199 (503) 639 -4171 PARCEL: 2S 104CD -106 00
• SITE ADDRES S ° ° 2 13697 SW • TRACY PL •
,SUBDIVISION HILLSHIRE ESTATES NO 2 ZONING: R--7 PD
LOT... ....... . :105
TENANT NAME
USA NO FIXTURE UNITS ° ° °: 0
CLASS OF WORT ; ° ° ° : NEW DWELLING UNITS..": 1
TYPE OF USE -SF NO OF BUILDINGS: 1 •
INSTALL TYP: ° ° ° ° :BUSWR IMPERV SURFACE: 0'sf
Remarks: PATH I
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Owner: -------- --------
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. WINDWOOD HOMES INC . . type amount by date recpt
14076 SW BENCHVIEW' TERR. . PRMT $ 2200:.00 TMP 03/11/,96 96— BYHAND
I NSP $ 35° 00 TMP . 03/11/96 S.6 —I 3YHAND
TIGARD OR 97224
Phone 4h 590 -47►�
Ccntractnr - • - - --
CONTRACT -OT ON FILE
Phone 4: $ 2235.00 TOTAL
.Reg #. _ REQUIRED INSPECTIONS. ---- . - - -.—
This Applicant agrees to cooply with all the rules and regulations Sewer Inspect ion
of the Unified Sewage Agency, The peroit expires -180 days froo _ -- _______
the date issued. The total mount paid will be forfeited if the .
pernit expires. The Agency does not guarantee the accuracy of the .
side sewer laterals. if the sewer is not located at the ❑easureoent
given, the installer shall prospect 3 feet in all directions froo
the distance given. If not so located, the installer shall purchase
a 'Tap and Side Sewer" peroit and the Ayenc it install a lateral.
Permittee Signature: • �— ~ — _
Issued By: ..
• .Call for inspection — 639 -4175
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