Permit (62) CITY OF TIGARD SEWER CONNECTION PERMIT
' ' COMMUNITY DEVELOPMENTIIII Permit#: SWR2016-00214
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/13/2016
Parcel: 2S112CD02001
Jurisdiction: Tigard
Site address: 15660 SW 79TH AVE
Project: Brand Subdivision: DURHAM ACRES Lot: 14
Project Description: Sewer connection for new SF
Contractor: Owner: JEREMY BRAND
7966 SW KELSO CT
TIGARD, OR 97224
PHONE: PHONE: 503-887-2094
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 07/13/2016
$5,100.00
Type Inspection-Residential 07/13/2016 $35.00
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 .irect questions
to OUNC by c . g 50 : 32.1987 1.800.332.2344.
/Issued B : k 4 Permittee Signature:
f
Call 503.639.4175 by 7:00 a.m.for the next available inspection da
This permit card shall be kept in a conspicuous place on the job site until completion of th-/.roject.
Approved plans are required on the job site at the time of each inspection.