Permit (77) CITY OF TIGARD SEWER CONNECTION PERMIT
!PICOMMUNITY DEVELOPMENT Permit#: SWR2016-00365
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/02/2016
TIC.;y IZ 1.7 g Parcel: 2S112DA00700
Jurisdiction: Tigard
Site address: 15333 SW SEQUOIA PKWY 190
Project: Pahlisch Homes Subdivision: PACIFIC CORPORATE CENTER Lot: 3
Project Description: .25 EDU increase
Contractor: Owner: PACIFIC REALTY ASSOCIATES LP
ATTN: N PIVEN
15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE:
PHONE: 503-624-6300
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 11/02/2016 $1,325.00
Type of Use: COM
Class of Work: ALT
Install Type: Building Sewer
Fixture Units:
Number of Dwelling Units: .25
Total $1,325.00
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 . •-- u les or direct questions
to OUNC •• "= mg 9 . 32.1987 or 1.800.332.2344. y�
Iss ed By: / Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspe '.n 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.