Permit •
q CITY OF TIGARD SEWER CONNECTION PERMIT
r m COMMUNITY DEVELOPMENT Permit #: SWR2013 -00008
T i G ARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/11/2013
Parcel: 2S104BB10600
Jurisdiction: Tigard
Site address: 14040 SW WALNUT CREEK WAY
Project: Walnut Creek, Lot 23 Subdivision: WALNUT CREEK Lot: 23
Project Description: Sewer Connection for New SF 2/5/13 REPRINTED to correct specific permit information
Contractor: Owner: LEGEND HOMES
12755 SW 69TH AVE., STE. 100
PORTLAND, OR 97223
PHONE: PHONE: 503 - 620 -8080
FAX:
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FEES
Description,_ . Date Amount
Specifics: Sewer Connection Fee ' 02/11/2013 $4,665.00
Sewer Inspection - Residential 02/11/2013 $35.00
Type of Use: SF
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
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Total $4,700.00
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable
law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification
Center. Tho a set forty in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions
to OUNC calling 503.232.198 •r 1. :0. 32.2344.
Issued y: . /�� Permittee Signature: fr
Call 503.639.4175 by 7:00 a.m. for the next available inspection d te.
This permit card shall be kept in a conspicuous place on the job site until corn ple • of the project.
Approved plans are required on the job site at the time of each inspection.