Permit (78) CITY OF TIGARD SEWER CONNECTION PERMIT
1 '' COMMUNITY DEVELOPMENT Permit#: SWR2016-00363
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/03/2016
i`O 9 Parcel: 2S101AB03100
Jurisdiction: Tigard
Site address: 12115 SW 70TH AVE
Project: Red Rock Center Subdivision: 2012-009 PARTITION PLAT Lot: 3
Project Description: .19 EDU
Contractor: Owner: TIGARD TRIANGLE PARTNERS LLC
18187 SIERA DR
LAKE OSWEGO, OR 97034
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 11/03/2016 $1,007.00
Sewer Inspection-Commercial 11/03/2016 $45.00
Type of Use:
Class of Work:
Install Type:
Fixture Units:
Number of Dwelling Units:
Total $1,052.00
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. ose rule 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 OU by calling 503.2.2. o .:00.332.2344.
Is- ed By:
1 / �� Permittee Signature: k\)1440/)eu/ lAA
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.