Permit y CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit #: SWR2013 00038
Date Issued: 03/12/2013
T [GRAD 13125 SW Hall Blvd , Tigard OR 97223 503.718 2439 Parcel: 2S1046611000
Jurisdiction: Tigard
Site address: 14008 SW WALNUT CREEK WAY
Project: Maplecrest, Lot 27 Subdivision: WALNUT CREEK Lot: 27
Project Description: New SF
Contractor: Owner: LEGEND HOMES
12755 SW 69TH AVE , STE #100
PORTLAND, OR 97223
PHONE PHONE' 503 - 620 -8080
FAX.
FEES
Description Date Amount
Specifics: Sewer Connection Fee 03/12/2013 $4,665.00
Sewer Inspection - Residential 03/12/2013 $35.00
Type of Use: SF
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
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 Th•: u - .re set forth 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 2' 1 • : or 1 800 332.2344.
Issu :d By: / / ,! Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available inspec ion
This permit card shall be kept in a conspicuous place on the job site until corn on of the project.
Approved plans are required on the job site at the time of each inspection.