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Permit CITY OF TIGARD • I SEWER CONNECTION PERMIT 1111 = COMMUNITY DEVELOPMENT ����, Permit#: SWR2014-00076 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/24/2014 Parcel: 2S109DB05600 Jurisdiction: TIGARD Site address: 13255 SW HAZELCREST WAY Project: Sequoia Heights,Lot 4 Subdivision: SEQUOIA HEIGHTS Lot: 4 Project Description: Sewer connection for new SF. 10/1/14,reprinted to add ASI info Contractor: Owner: LENNAR NORTHWEST INC 15060 SW 133RD AVE TIGARD,OR 97224 PHONE: PHONE: 360-258-7900 FAX: FEES Description Date Amount Specifics:, Sewer Connection Fee 09/24/2014 $4,900.00 Sewer Inspection-Residential 09/24/2014 $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 $4,935.00 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. Tho . - .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 b. calling 503.2 •.1•: or 1.:00.332.2344. Issue. By: = Permittee Signature: -- el-fr /^ 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. CITY OF TIGARD SEWER CONNECTION PERMIT I COMMUNITY DEVELOPMENT Permit#: SWR2014 00076 T f G A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/24/2014 Parcel: 2S1090B05600 Jurisdiction: TIGARD Site address: 13255 SW HAZELCREST WAY Project: Sequoia Heights,Lot 4 Subdivision: SEQUOIA HEIGHTS Lot: 4 Project Description: New SF Contractor: Owner: LENNAR NORTHWEST INC 15060 SW 133RD AVE TIGARD, OR 97224 PHONE: PHONE: 360-258-7900 FAX: FEES Description Date Amount Specifics: Sewer Connection Fee 09/24/2014 $4,900.00 Sewer Inspection-Residential 09/24/2014 $35.00 Type of Use: Class of Work: Install Type: Fixture Units: Number of Dwelling Units: Total $4,935.00 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 th. Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain : copy of rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By�1nL2.4 ., D Permittee Signature: , ,_ It Call 503.639.4175 by 7:00 a.m.for the next available inspecti,n 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.