Permit (44) CITY OF TIGARD SEWER CONNECTION PERMIT
` '� '- COMMUNITY DEVELOPMENT Permit#: SWR2016 00230
T(GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/30/2016
Parcel: 2S 112CD02000
Jurisdiction: Tigard
Site address: 15630 SW 79TH AVE
Project: LAYTON Subdivision: DURHAM ACRES Lot: 14
Project Description: Connecting existing house to sewer. 60 ft.of sanitary sewer. Septic tank to be pumped and filled.
Contractor: Owner: LAYTON, RONALD J
15630 SW 79TH AVE
TIGARD, OR 97224
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 06/30/2016 $5,100.00
Sewer Inspection-Residential 06/30/2016 $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 suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules a.•.ted by the Oregon U'f r••otification
Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may ob n a copy of the les o- .' - t questions
to OUNC by calling 503.232.1987 or 1.:::. -
Issued By: 4•01,11111111 .r Permittee Signature: `
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Call 03 175 by 7:00 a.m.for the next available ins.- tion date.
This permit card shall be kept in a conspicuous place on the job site until completion of ti'' project.
Approved plans are required on the job site at the time of each inspection.