Permit •
CITY OF TIGARD SEWER CONNECTION PERMIT
11 11 s COMMUNITY DEVELOPMENT Permit #: SWR2009 -00108
TIGARD , 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/08/2009
Parcel: 2S1020D00808
Jurisdiction: Tigard
Site address: 13960 SW 87TH CT
• . Subdivision: FILBERT PARK Lot: 1
Project: Curtis
Project Description: Connect existiing SF to sewer.
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Owner: FEES
CURTIS FAMILY TRUST Description Date Amount
15285 SW ALDERBROOK CT Sewer Connection Fee 10/08/2009 $3,600.00
TIGARD, OR 97224 Sewer Inspection - Residential 10/08/2009 $35.00
PHONE:
Contractor:
SAMMY LEE MUNSEY PLUMBING
11771 LONGSTANDING CT
OREGON CITY, OR 97045 .
PHONE: 503 - 333 -5499 •
FAX: 503 - 723 -4753
Type of Use: SF
Class of Work: ALT •
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Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
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Total $3,635.00
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. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
'or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
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Issued By: r MA Permittee Signature: '14
Call 503.639.4175 by 7:00 a.m. for an inspection that business day. •
This permit card shall be kept in a conspicuous place on the job site until completion of the project. • .. S
Approved plans are required on the job site at the time of each Inspection. •
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