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11155 SW COTTONWOOD LANE N f- rJ In V' N F- n Oy fr C+ O E O O O. r d Co 1 I` 11155 SW CCYM'ONWOOD LANE e)00000 SEWER PERMIT N" 12135 Unified Sewerage Agency ai1Nath'ngtonCounty CITY OF _moiraard _ DATE _�_-Jq OWNER: _E & C Builders PHONE : OWNER ' S ADDRESS: 11115 SW Cottonwood Lane TYPE OF INSTALLATION: ❑BUILDING SEWER BUILDING SEWER AND SIDE SEWER TYPE OF OCCUPANCY: [j]NEW © SINGLE FAMILY COMMr^CIAL ❑EXIST . (PRIOR TO 7-1-70 ) oohmm- L_.J INDUSTRIAL cTYi '1RE UNITS DWELLING UNITS 1 PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND REGULATIONS OF THE UNJlrIED SEWERAGE AGENCY. WHEN CALLING FOR INSPECTION, PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION EXPIRES IN ONE-HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD EXPIRATION OCCUR. FEES: PERMIT FEE b,_575.00 CONNFCTTON CHARGE SIDE SEWER I I-4STALL AT I ON OTHER Insp. 25.00 ISSUED BY r TOTAL $ 600.00 APPLICANT v DATE _ SEWER PERMIT N° 12135 ADDRESS OF STRUCTURE 11115 SW Cottonwood Loop TAX MAP TAX LOT SYSTEM Tigard LOT _ BLOCK OF APPROVED BY DATE ISSUED BY DATE REMARKS 0 i p w I W> y z0 v >y W O U. w ; Sn uCl \ N � U .) ` p U V► uiF1 ~Om O w y \ ° C, s 11 p g z VW � wL C) a N N i Q O Z o a t o. 0 > y oQzw '� f, Ww ul tu H J > O f- Q Z OZO Q iJQ 2 tlo,mamUZ 6 �1 CL ¢ u� a 0re ¢ W 7 p y py p y Q Q T 2 OJ y ¢ C) > W z � FFoI 30 ui LL O m ° f-I W cCl.c � w � W LL y Z I L O a > 2 ,t O x Q Q Q to „! ui Q U OU W Z Ul y z Q c Q �Cft 1 U' Z W y Z O Q fL le .b 3. Cl o' � `; U ° z h v Q J C) A CL O e 2 (j cr w O a� w a Hp "� F w [I ¢ Cl a u w '^ ~ � ao Iz O V r'1 7 LL y /� Q O ¢ N f U � r 'L - n/� 3 Z r w < ¢ w O JCutr LLI.J W Q ¢ d yU. ¢ � a � OFd a �'' nJ_ [] Cl V2 LU Ma ' cr: z o C) '� I ma0Q " �' a a V t: Z y w u, z J O - 7. Ozy¢j Q w w F w w a p Q a I > a pr Z z O ¢t n w 4AClzVWW Q ° V V ~ C1 N 0 2 H 'LOw > Q 0. Q w Q p F w O Q O J O ¢ �_ ) Q V Q > Q t, Y LL F 7C] Cwf Q Qi p J v > w I C) W ZO m tA � F.: J� CA Z ^ ~ U. C) < wJY �z a rn 1►3 ► s _ m VIU ¢ J w u uiz V / y MIr mJ ¢ �l Q } CI > W 1 ._ W ¢: Q 0 D. ° � �M 1 tea , f I Q u a F I n i o tui, C7 F., _, L1j wZ 2% > n o r 1 c,_ ZQ rJ W o 1 - z \ u [ ) w W z j C') to c w I to e' u w ? p > l� u _ 1 ul Q R C' 07Q a� F a cr F m L) o c V I O t!, ie 4 c, _ J( it