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Permit CITY OF TIGARD , _ ` `, SEWER CONNECTION PERMIT COMMUNITY DEVELOPMENT Permit#: SWR2015-00076 13125 SW Hall Blvd.,Ti Date Issued: 01/25/2016 TE ,hPY and OR 97223 503.718.2439 9 Parcel: 2S 102CA02300 Jurisdiction: Tigard Site address: 13387 SW BARNUM DR Project: Ashwood Estates,Lot 10 Subdivision: ASHWOOD Lot: 10 Project Description: Sewer connection for new SF. 6/30/16, REPRINTED to correct parcel number and lot number. Contractor: Owner: LF 4 LLC 9700 SW FREWING ST TIGARD, OR 97223 PHONE: PHONE: FAX: FEES Description Date Amount Specifics: Sewer Connection Fee 01/25/2016 $4,900.00 Type of Use: SF Sewer Inspection-Residential 01/25/2016 $35.00 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. 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: CO aorPermittee Signature: egl1!r �� i9Z"" Call 503.639.4175 by 7:00 a.m.for the next available inspection date. Q 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#: SWR2015-00076 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/25/2016 Parcel: 2S 102CA00600 Jurisdiction: Tigard Site address: 13387 SW BARNUM DR Project: Ashwood Estates,Lot 10 Subdivision: FREWING'S ORCHARD TRACTS Lot: 18 Project Description: Sewer connection for new SF Contractor: Owner: LF 4 LLC 9700 SW FREWING ST TIGARD, OR 97223 PHONE: PHONE: FAX: FEES Description Date Amount Specifics: Sewer Connection Fee 01/25/2016 $4,900.00 Sewer Inspection-Residential 01/25/2016 $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 $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. 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: rmittee Signature: Call 503.6 9.4175 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 completi of project. Approved plans are required on the job site at the time of each inspec ion.