Permit (44) ,yiliii CITY OF TIGARD SEWER CONNECTION PERMIT
! COMMUNITY DEVELOPMENT Permit#: SWR2016 00248
T I AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/17/2016
Parcel: 2S 111 AA07500
Jurisdiction: Tigard
Site address: 14480 SW 90TH AVE
Project: Greensward South,Lot 12 Subdivision: GREENSWARD PARK NO.4 Lot:
Project Description: Sewer connection for new SF
Contractor: Owner: GP4 LLC
PO BOX 1577
BEAVERTON, OR 97075
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics:, Sewer Connection Fee 08/17/2016 $5,300.00
Type of Use: SF Sewer Inspection-Residential 08/17/2016 $35.00
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $5,335.00
Required Items and Reports(Conditions)
1
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Special',f ode/- 1 all other applicable
law. All work will be done in accordance with approved plans. This permit will expire if work is not started ithin 1:1 .1y of issuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopte. .y the • :.on Utility Notification
Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a co. of t - :s or direct questions
to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: \ J Permittee Signature: '
an, filL
Ca 639.4175 by 7:00 a.m.for the next available inspection dat- ` V
This permit card shall be kept in a conspicuous place on the job site until completion of the pro ect.
Approved plans are required on the job site at the time of each inspection.