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7865 SW BONITA ROAD VwLJW ;; v }, Li LJ L-4* ! v w „r i .i ?VA i +M. CITY OF TIGA RD SEWER CONNECTION ARD, OFPERM I T COMMUNITY DEVELOPMENT DEPARTMENT PERMIT k. . . . . . . : SWRqj-qijq,--, 13126 SW Hell BW P.O.Pox n407,T-iijard.Oregon 97223(603)639.4175 :1j .--/I I ",'1 :A ' --- - .- - --- 111ATV cc- 1j ADDRESS. . . : 07665 SW BON ITA RD PARCEL: 2SI12BA-00500 SUBDIVISION. . : ZONING: P-12 EiLLILK. . . . . . . . . . : LOT. . . . . . . . . . . . . TE NANT NAME. . . . USA NO. . . . . . . . . . . FIXTURE UNITS. . . CLASS OF WOPK. . . :ADD DWELL,I NG UN ITS. . : I T YPE OF USE. . , . . :SF NO. OF BUTL.DINGS: l INSTALL TYPE. . . . -BUSWP IMI--'ERV SURFACE. . : csf Pemarks : Connect existing SFD to Sewer,. Septic tank mr-tst be primped and filled with gr-3vel. An inpsection of the filled tank is re(Iii.ired. Fees pA-i .,j by City ar Part of the Bonita Rd. improvement contract. Fees paid okit of accoo_jnt "50-6306-75560. Per Mike Mills Owner: FEES ---------------- PAULINE WEAVER type amol-int by date V,Pcpt 7865 SW BONITA RD PIRMT $ 1900. 00 TIGARD OR 97224 Phone 7 Contractor: LONTRACTOR NOT ON 1=1k 1-7 Phone #t 1900. 00 TOTAL Reg REQUIRED INSPECTIONS -------- This Applicant acrees to comply with all the ruies and regulations Sewer Inspection of the Unified Sewage Agency. The permit expires 120 days from Septic, Tank Fill the date issued. T;it total amount oaid will be forfeited if the permit expires, The Agency does not guarantee the accuracy cf the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Permit and the Agency will install a lateral. t A,F P S i q 11'1 t Issied By: • Call for- inspection 639-4175 TNSPB��- NOTICH �r "� r City of Tigard nui.ldinq Department 13125 SO Hall BJ%d. Tigard, OrAgon 97223 Inspection Line (Rec-O-Phone): 539-4175 Business Phone: 639-4171 Inspect Lon s_�_-_ --- Footing My. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Cas Line FINALS Post/Beam Struct. fan. Bower Framing -Bldg. Post/Beam Mech. Rain Orain Insulation -Plumb. Plbg. Underfloor Nater Lino Gyp. Bd. -Meeh. Date Requestsds Z Time: _!V_Am _PM 7 � Addresst 7, 7 !' , GG� 1 � / [_ Pereit #I Builders1712 FOLLOWING FOLLOWING CORRECTIONS ARE REQUIRED: Inspector. _ Datet oe APPROVED DISAPPROVED APPROVED SUBJELT TO ABOVv. Call For Reinsp.