Permit y ,, CITY OF TIGARD SEWER CONNECTION PERMIT
; COMMUNITY DEVELOPMENT Permit #: SWR2013 00074
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/27/2013
Parcel: 2S113AB01201
Jurisdiction: Tigard
Site address: 16280 SW UPPER BOONES FERRY RD
Project: Service Master Subdivision: COUNCIL VIEW ACRES (LOTS 21 -44) Lot: 30
Project Description: 1.05 EDU increase
Contractor: Owner: PACIFIC REALTY ASSOCIATES LP
ATTN: N PIVEN
15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: PHONE: 503 -624 -6300
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 03/27/2013 $4,898.25
Type of Use: COM
Class of Work: ALT
Install Type: Building Sewer
Fixture Units:
Number of Dwelling Units: 1.05
Total $4,898.25
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 t - ules adop -, by the Oregon Utility Notification
Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You - . obtain cop of the rules or direct questions
to OUNC by calling 503.23 .1 87 or 1.800.332.2344.
Issued By: Okat Permittee Signature: �-
Call 503.639.4175 by 7:00 a.m. for the next available inspec
This permit card shall be kept in a conspicuous place on the job site until co • on of the p ='ect.
Approved plans are required on the job site at the time of each inspecti.