Permit v CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit #: SWR2013 -00053
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/13/2013
Parcel: 1 S134AA01800
Jurisdiction: Tigard
Site address: 10110 SW NIMBUS AVE B6
Project: Impact Medical Subdivision: IKOLL BUSINESS CENTER, TIGARD Lot: 2
Project Description: .13 EDU increase
Contractor: Owner: HANSON, RONALD D
ROBINSON, CONSTANCE A
ROBINSON, CHESTER TRUST ET AL
203604 EAST FINLEY RD
KENNEWICK, WA 99331
PHONE
PHONE:
FAX:
FEES
Description • Date Amount
Specifics: Sewer Connection Fee 03/13/2013 $606.45
Type of Use: COM
Class of Work: ALT
Install Type: Building Sewer
Fixture Units:
Number of Dwelling Units: .13
Total $606.45
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. se rules set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions
to OUN y calling 503.232. 87 . 00.332.2344.
Issue By: Permittee Signature: y
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.