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Permit (174) .74 CITY OF TIGARD SEWER CONNECTION PERMIT COMMUNITY DEVELOPMENT Permit#: SWR2015 00207 TrGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/13/2016 Parcel: 1S136AA01200 Jurisdiction: Tigard Site address: 10250 SW 70TH AVE Project: Whittaker Subdivision: None Lot: None Project Description: Sewer connection for new SF. 5/31/16,REPRINTED to correct parcel number. Contractor: Owner: JEFFREY&ANITA WHITTAKER 11452 SW CORNELL PL TIGARD, OR 97223 PHONE: PHONE: 503-515-6607 FAX: FEES Description Date Amount Specifics: Sewer Connection Fee 01/13/2016 $5,100.00 Sewer Inspection-Residential 01/13/2016 $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 $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 suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules 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 OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By:E & " Permittee Signature: 42-1/ \ , lll���lll 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 COMMUNITY DEVELOPMENT Permit#: SWR2015-00207 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/13/2016 Parcel: 1 S136AA00600 Jurisdiction: Tigard Site address: 10250 SW 70TH AVE Project: Whittaker Subdivision: 2007-031 PARTITION PLAT Lot: 2 Project Description: Sewer connection for new SF. Contractor: Owner: JEFFREY&ANITA WHITTAKER 11452 SW CORNELL PL TIGARD, OR 97223 PHONE: PHONE: 503-515-6607 FAX FEES Description Date Amount Specifics: Sewer Connection Fee 01/13/2016 $5,100.00 Sewer Inspection-Residential 01/13/2016 $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 $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 suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules r direct questions to OUNC by calling 55500/33.232.1987 or 1.800.332.2344. Issued By: / ]_ �/_ Permittee Signature: s i_ Call 504.'4!9'#175 by 7:00 a.m.for the next availainspect! n ati. This permit card shall be kept in a conspicuous place on the job site until c pletion of the project Approved plans are required on the job site at the time of each nspection.