Permit CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit#: SWR2015-00151
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/19/2015
TIGARD Parcel: 2S103BD00602
Jurisdiction: Tigard
Site address: 11930 SW WALNUT ST
Project: Norman Subdivision: 2007-085 PARTITION PLAT Lot: B
Project Description: Connect existing house to sewer service,approximately 200'.
Contractor: Owner: NORMAN, JACK J JR &MARY J
2954 RIVER VIEW ST
EUGENE, OR 97403
PHONE: PHONE: 541-357-0320
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 11/19/2015 $5,100.00
Sewer Inspection-Residential 11/19/2015 $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 $5,135.00
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 suspen.-. . more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification
Center. .se rules are et 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 503.232.1•:7 a .10.332.2344.
Iss ed By: = / Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspectie
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.