Permit V CITY OF TIGARD SEWER CONNECTION PERMIT
2 COMMUNITY DEVELOPMENT Permit#: SWR2015-00052
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/14/2015
Parcel: 25111 CA00700
Jurisdiction: Tigard
Site address: 9880 SW SATTLER ST
Project: PHOENIX REDEVELOPMENT INC Subdivision: ALDERBROOK FARM Lot: 10
Project Description: Connect existing house to sewer service.
Contractor: Owner: PHOENIX REDEVELOPMENT INC
516 SE MORRISON ST, STE 700
PORTLAND, OR 97214
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 05/14/2015 $4,900.00
Sewer Inspection-Residential 05/14/2015 $35.00
Type of Use: SF
Class of Work: ALT
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. To - rules : e set forth in OAR 952-001-0010 through OAR 952-001-0090. You ma 9 copy of the rules or direct questions
to OUN oy calling 503.23 . ..7 o'1 :00.332.2344. ,i
Ise ed By: / • _ .71Vi__4h? _/ Permittee Signature: `# �
Call 503.639.4175 by 7:00 a.m.for the next available inspe—c[io .ate.
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.