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7020 SW GONZAGA STREET 7020 SW GONZAGA STREET ro ro N C G 3 O N O r WN SEWER PERMIT 33429 1W Unified' aAgency CITY OF Tigard CATF 5-8-87 of Washington County ------Shirley ( Lucas ) Davis PH�1NE , 20G-882-2713_ OWNER , —_--� Y L -- Redmond son Ron Lucas 248-9A41 OWNER' S ADDRESS, 6702 139th Ave . NE #736, TYPE OF INSTALLATION, © BUILDING SEWER ❑ LINE TAP AND BUILDING SF.WFR ❑ LINE TAP TYPE OF OCCUPANCY , ❑ NEW ❑ EXISTING L_J S:NGLE FAMILY ❑ COMMERCIAL ❑ MULT . RES . ❑ INDUSTRIAL l FIXTURE UNIT; DWELLING UNITS 20 SW Conzaga 97223 ADUR=SS OF 5TRUCTU� , __ ------ ---- -- Ptimit Conditions: The applicant agrees to comply with all rules and regulations of the Unified sewerage Agency. when calling for ao inspection, please refer to the Permit Numter. The Permit el,pires ooe hundred twenty (120) days from the date of issuarce. The total amount paid (permit fee, connection charge, line tap fee and/or other charge) +iii be forfeited if the permit expires. The Agency does not guarantee the accuracy of the location o. side sewer laterals, if the sewer is not located at the measurement given, the installer shall prospect three feet in all directions from the distance given. if not so located, the installer shall purchase a "Tap and Side Sewer" Permit at the current charge and the Agency will install a lateral. FEE5, PERMIT FEF CONNECTION CHARGE LINE TAP INSTALLATION _ —— - SSUED BY OTHER ___ ,_ TOTAL s010 00 �T--F I SSU __�.�. -� O A T S 0 MANCE L ICANT ------ -- DATE OF EXPIRATION SEWER PERMIT 97223 ADDRESS OF ST^ACTURE 7020 SW Gonzagsa TAX MAP 2S1-1AC ----- TAX LOT 200 QUARTER----�- SECTION -- — -- LCT- BLOCK __. __._. :;F —V�pp�rBY_- DATE�� SUED BY DATE OF :SSL'ANiI D . U . ' S 1 REMARKS 411 line requ !ed . Septic tank to b(' puMP"i t I filled, ana Tnspected by MY. W W q A I SEWER PERMIT 33429 Unified Sowcre"Agency CITY OF Tigard DATE of Washingtoi County Shirle ( Lucas ) Davis _ PHONE % 206-882-2713 OWNER : -•_ "" son Ron Lucas 248-9841 OWNER' S ADDRESSt 6702 1-39th Ave. NE #736, Redmond TYPE OF INSTALLATIONt ❑I BUILDING SF14ER ❑ LINE TAP AND BUILDING SEWER ❑ LINE TAF FYPF OF OCCU'-'ANCY t L__l ,NEW � EXISTING ® SINGLE FAMILY ❑ COMMFRCIAL ❑ MULT . RES . ❑ INDUSTR -- AL 1 FIXTURE UNITS DWELLING UNITS ADDRESS OF S FRUCTU?k20 SW Gonzaga 97223 Permit Conditions: The applicant agrees to comply with all rules and reyulat'ons of the Unified Sewerr,ge Agency. When calling for an inspection, please refer to the Permit Number. The Permit expires one hundred twenty (120) days from the rate of issuance. The total amount paid (permit fee, connection Oa-ge, line tap fee and/or of-»r charge) will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the location of side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect three feet in all directions from the distance qiven. If not so locate.l, the installer shall purchase a "Tap and Side Sewer" Permit at the current charge And the Ago;rc,y will install a lateral. FEESt PERMIT FEF $ — CONNECTION CHARGE 975_(10 LINE TAF INSTALLATION _. ►�� - - SITD BY OTHER TOTAL s 010 ,00DATE OF ISSUE '4- " A NT DATF OF EXPIRATION SEWER PERMIT ADDRESS OF STRUCTURE 7020 SW Gonzaga 97223 L TAX ei 200 QUARTER TAX MAP 2S1-1AC � ' SECTION LOT BLOCK OF _-,-- nn +2.SL3L7 ROVED 8Y DATE UEF�D BY DATE OF ISSUANtf U . U . ' SRm _ 1 _T_ REMARKS 4" line requ .ed . Septic tank to be pumed f i1,ed, aria inspected by `--�-� WASHINC"ON COUNTY, OREGON May 7, 1987 Shirley Davis 6702 N.E. 139th *736 Redmond, Washington 98052 RE; 60-Sewage and/or waste water on the surface of the ground 7020 S.W. Gonzaga Street 2S1-lAt- -280 Dear Ms. Davis: It has come to the attention of the Washington County Department of Public Health that sewage and/or waste water is discharging on the surface of the ground because of a malfunctioning of the sewage disposal system at the above noted address. This is in violation of Oregon Public Health laws and regulations governing the disposal of domestic sewage and other household wastes. Gerhard Matheis, Sanitarian conducted an investigation and substantiated the violation referred to above on May 6, 1987 You are respectfully requested to correct this public health hazard by establishing hook-up to the public sewer available to this residence. For information on sewer hook-up, contact City of Tigard at 639-4171 . Since the above is a safety hazard as well as a Public Health Vlolatit1.^., we must request correction within 30 days from the date of this letter. Please call or write the Department of Public Health as soon as correction has been accomplished. If a satisfactory correction has not been completed in the time allotted, we will have no choice but to refer this problem to the Department of Environmental Quality for enforcement. If you have any questions regarding this problem, please feel free to contact this office. Very truly yours, WASHINGTON COUNTY DEPARTMENT OF PUBLIC HEALTH Mary C. /S,or7e�nson, Director J Gerhard Matheis, R.S. Environmental Health and Sanitation GM:aat c: City of Tigard ►lary Ann Ellia-McShane Department of Public Health 265 Southeast Oak Street Hillsboro,Oregon 97123 Phone:503/648.88111