Permit (131) CITY OF TIGARD SEWER CONNECTION PERMIT
111 COMMUNITY DEVELOPMENT Permit#: SWR2016-00411
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/29/2016
T[O - Parcel: 1 S125DA03800
Jurisdiction: Tigard
Site address: 6620 SW WALNUT TER
Project: Kovalev Subdivision: KINGS VIEW Lot: 23
Project Description: New SF. DEMO CREDITS APPLIED FROM BUP2016-00231.
Contractor: Owner: KOVALEV, VITALY&ANITA
6990 SW CANBY ST
PORTLAND, OR 97223
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Inspection-Residential 11/29/2016 $35.00
Type of Use: SF
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $35.00
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- ghOAR 952-001-0090. You may obtain a copy of the rules or direct questions
to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: C � I/ '6 �`��
as ••9.4175 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.