7475 SW CHERRY DRIVE Ld
U.
1-3
It
Ell
L"� 0
Ln
U)
7475 SW CHERRY DRIVE
CITY OF TIGARD bEWLR LONNECTION
PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . swR94—4'!1 1
1 4125 SW Hell Blvd.Tigard,Oregon 97223e819P j§1f?9i317'
DATE ISSUED! 03/09/94
PARCEL: 2S101DC-03200
::.11E ODDRESS. . . . 07475 SW CHERRY Df? �
SUBDIVISION. . . . .. ROLLING HILLS PLAT ` ZONING: R-3. 5
SLOCK. . . . . . . . . . . LO'r. . . . . . . . . . . . :44
T ENON T NOME.*. . . . . .
(JSN NU. . . . . . . . . . FIXTURE HNITS. . . .
l:"'l-_ASE, OF WORK. . . .-ADD DWE=LLING UNITS. . : 1
TYPE OF USE. . . . . : >F NO. OF BUILDINGS: ,
;:Nt TAL.L 'I Yf=L. . . . :AUSWR IMPERV SURFnCE. . : : s
kemarl;�: : CONNECT EXISTING HOUSE TO SEWER. REIMBURSEMENT DISTRICT #5 --• 4c:�?�b. W;..
,)EP-`TIC 'TANK 1'0 BE PUMPED, FILLED R• INSPECTED
Uwner,: __.._...---..._ __.__.__.___-_._-------------_..------__.__-•----_____._____ FEES
�I' & MARIL GORDON type amount by date recpt
71175 SW CHERRY DR MISC $ 2096. 32 JH 03/09/94 -
PRMT A 2LOO. 00 JH 03/09/94 -
1IGARD OR 972.23-•000V., INSP $ 00 JH 03/09/94 -
Phone #: 503-639-6390
__------.---••--___--
L1WNE H
Phone #; t 4331. 32 TOTAL
Reg #. . .
---- -- RLQU t RED I NSPECT I UNL)
This Applicant agrees to comply with all the rules and regulations Seer- Inspection
of the Unified Sewage Agenrv. The oereit exv,res 188 days from Septic Tank Fill _ — —
ihe date issl4ed. The total amount paid wili be forfeited if the _
permit expires. The Ag!ncy does not guanintee toe iccuracy of the
side fewer laterals. If the sewer is not located at tr,e measveelent
given, the installer shall prospect 3 feet in all dirert>ons from
the distance given, 1; not so located, the installer stall purchase
a "Tap and Side Sewer" permit and the Agenc will install a lateral. _
I er•miti e Si yr ature:
lssl.ted By :
Call for i s s pect i on - 639-4175