Permit CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit#: SWR2013-00200
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/19/2013
Parcel: 2S103AD00407
Jurisdiction: Tigard
Site address: 10940 SW ERROL ST
Project: Newman Subdivision: ECHO HEIGHTS Lot: PTS 12-
Project Description: Connect existing house to sewer service,approximately 250'. Septic tank must be pumped and filled.
Contractor: Owner: NEWMAN,MICHAEL J
KARJALA, NICOLE
10940 SW ERROL
TIGARD,OR 97223
PHONE: PHONE:
FAX:
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FEES
Description Date Amount
Specifics: Sewer Connection Fee 11/19/2013 $4,800.00
Sewer Inspection-Residential 11/19/2013 $35.00
Type of Use: SF Reimbursement District Fee 11/19/2013 $7,866.09
Class of Work: ALT
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $12,701.09
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. T ..- are 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. • .198 1.800.332.2344.
Iss •d By: • /jk, Permittee Sign lure:
Call 503.639.4175 by 7:00 a.m.for the next available inspectio te.
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.