16628 SW JORDAN WAY'� d�fM°�f"� rM4M1•'�VPKt �'�1^"'.• �y�, .. �w�gpMMT'14i eFrwrnk�rt :dltr 'j4r}'w
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INSPECTION NOTICE
City of Tigard Hui
ldi:g Departt•a -�"'
L3LZ5 SN Ball Blvd. Tigard, Oregon 9
Inspection Lino (Rea-O-Phone)t 639-4175 Business P ne; 634-4171
Inspection: - --- 4
looting Plbg. Underelab Mech. Rough-ir. Appr/Sdwlk A
n
Pound, Plbg. Top Out Gas LigeZNALs
( r,
Post/Beam Struat. San. Sewer Framing
Post/Beam Mach. Rafe Drain Insulation ey�r� yyi+
1177 4� "'t
Plbg. Underfloor Nater Line Gyp• Bd. {,-Mech. i
Date Raquastsdtf 9 3 --Time:
Addresst A �` [� 1"✓� Permit !:
Builders_ ��Q�
B
TBE FOLLOWING CURRS:T.ONS ARE REQUIREDt aN.l
1
i� Inspector:_ J � Date:__,__
L_APPROVRD DISAPPROVRV APPROYRD SUBJECT TU ABOVE
Ca�I For Reinsp.
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CI1Y OF TIGARD CERTIFICATE: OF'
COMMUNE fY DEVELOPMENT DEPARTMENT OCCUPANCY
13,_5 SW Hall Blvd.Tigard,Oregon 97?.22.8199 (503),39,4171 P pM1 #. . . . . . . 9 MaTr):3•--0305'
ISsUEDt 12 31'•i93
PARCELc 2S116AD---BE:I)37
"31TE ADDRES a. . . a 16628 SW ,JORDAN WY
Z ON I NQ i
5
131-OC K. . . . . . . . . . c LOT. . . . . . . . . . . . , c37 &
CL.A9 S OF WORK. c NEIL
TYPE OF USE:. . . c SF
OCCUPANCY URP. &R,3
�
XCUPPiNC;Y L040 i 1 1`r 4
T'E NANT NAME . . . i �
Remarksi POrH 1 f
(Joiner. _._..._�__ ..._._ ..._�..w_.___w_,_• .._. •_ _• .._.__.
t3E:AUM HOMES I
13613
1JL'OVF'RT014 OR 9.701217
phone o c 15@3-524-- .(999
Contractors --.- _.._._...__......_._..._.___,. .._.__._ .. ........_. _
pF:WUN HOMES
95u-1 SW 125TH
DE:AVE:RTON OR 97005
phone! #e 524-1999
Reg #. . t 70782
I
Ocr_ttpatticy of the at.to-e reference j bktildiiiq iG hereby given, and certifies
' r:,omplianc.-e with the State (if ( .,e+ilon Spec.:ialty Code S fur the qt-WAP,
c/ c:. apetnc�y, and i.tsp under whirh the r :zfere+riced permit wab issued.
w__..•___.w F'1 RE I1L PAF7 TMENT_ Efl1 1 tJtrGJOR
1,
_•-E 'IL UN4 CIAL
POST IN CONSPICUOUS PLACE
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a City of Tigard Building Despart�t
13125 811 Ball Blvd. Sig'ardr Drager.
97223
r Inspection Lina (Rac-O-Ph-)ne)s 639-4175 uasiaens Phonn: 639-4171 I
,
Inspections_ ._ _
rooting Plbg. Underslab Nsjch, Pough-:n Appr/Sdwik
4 round. Plbg. Too Out Das Line FINALS y
i
post/Beam Struct. San. Sewer rrsaLng -Bl.dq. .
�•� -Plumb.
Post/Beam Hoch. Rain Driin �1ltsulation l
Plbq. Undarflaor Water Lino 6Yp•
BA. -Hach.Willi 0
r �'
Dste Requestads �L � TiMI q AN ,— ' '' ■
Address s 7U ('(� Permit f t
Builders
THE .l'OL AYPFING CORRECTION4 API RRQUIRRD'
__._r-- z G 1 777 yi
Inspectors_ Dates
APPROVED DISAPPROVRD APPROVED SUBJECT TO ABOVE
Call For Reinap.
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OsPECTION NOTICE
cttl o-- Tigard Buildiuq tteparlatetst
1'3725 SA Ball Blvd. Tigard, Oregon 9722
ZInspection Line (ROC-O-Phone)t 639-•4175 Business P 9-4171
I napes::ion t_
footing Plbg. Underslab xwh. Rough-in'N P.ppr/sdwlk .;
found. Plbg. Top Out 4" Line fINI►Lt
Post/Beam St:ruct. Sen. Sewer `rx�Lnq -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mesh.
r ]1'i ywy�tt
.1hy90 �
Dr.te Requestedt 7 (� Time: AM PN Q;;k "'t,r� �
L �,� Permit O t �
Addreset � � - ___
Builders!
TM fOI.I.OWING CORRECTIONS ARE REQUIRF"t
phi
til :ire ��
Inspect or t____ � -� Date t
__ APPROVED _^ DISAPPROVED APPROVED SUBJECT TO ABOVE
Cell for RoInsp.
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INSPECTION NOTICE
City of Tigsrd Building D"Partaent
i 13125 BW Ball Blvd- Tigard. oregon 91223
Inul+ection Line (Rec-O--Phnne): 639-•4175 Business Phonn: 639-4171
Inspections.—__
looting g.PlbUnderelab Hoch. Rough-in Appr/Sdw_k
a
'c
Found. Plbq. Top Out Gas Lin,i FINAL: y
Post/Been Btr-uct. San. Tewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underf'..00r Nater Line GYP• Bd. -mech.
Date Requested:_ (` r Time: --AM PN
Address:
(n Z Za �UV �U\ (��U i Permit 1:
-
Builder:_ -- —
TRE 10LL)WING CORRECTIONS ARE REQUIRED:
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i`
Inapectur: _�' Date•
APPROVED —_— DTSAPPROV19D APPROVED SU3JECT TO ABOVE
Call For Reinsp.
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,f t���� �,t.��,r kl.�f ,�,t,L 4 I' ,. ..,1, .,. ,, ,... .,A,^✓?.9�'�, .''a11�";�`a,tPM$'s'
_ tt 199X02
i- -_;5----Jr� 1 �fY I<I NG I T'� FAX N0:5 13 639 3771
1 EG -1 9 �f 3 ';7
CITYKING" �
13300 S.W. iltith Avenue,Ring r'ity,Oregon 97224 Phone:F;9,40A2
COMMUNITY DEVELOPMEN,r
APPLICATION FOR BUILDING PERMIT
(Instructions on reverse)
DATE <- (�l- / 5'
Phone No. a ■
1.. NAME OF APP CAN i:
ADDRESS'
ADDRESS OF PROPOSED IMF'RL3t1EMFT1'r
2. TYPE OF CHANGE, IMPROV12�VT OR CG::aI'RUCTION FOR WHICH Pflit-tIT IS (T1":STED•
DESCRIBE BRIEFLY - AT'IkC1i 'IWU PIES OFI PLANS OR pRAWING3 OF
DROPCSED PROJECT —ILS
NT._R.A._CT�O 3. AND AD>IREPHONE No' . LICENSE NO. —
/ --
4, NL., �'iORS WHO MAY BE AFFEC'M BY THIS PROJEC': WILL BE NdrIF1FJJ BY i^HE CITY. I'
S. APPLICANT OR hER/HI REPRESEN'TAT MJST BE P�ESEN'P AT PLANNING ISSION-
MMTING HELD
3ZEPRE ATIVES I
e King Cily P anin4 Commission ill consider only those applicatio s received at iea�t five (S) dais
prior to a se ing,)
IGNATURE —
__PATE—Z _3--
APPLICATICvi RECEIVE BY
APPLI(BLE FEE RE=IVED -
PUNNING OCYMISSION DECISION: Approved..—.____,_-- Den" -
� FC,Q_ 71 Cl
OONT)I T I ONS T
Approved applications re valid for sit oenths only
��___Signatttre — —
Date i', GI _
1018: Or goo Booebuilder, Lar requires that all persons rho contract for :ark an their residence be
rcy;stered rich the Builders loard rbieh deans the contractor i.s bondfd and insured on the job site.
For your protection, be certain your contractor is registered by mailing City Ball Ph: 639-4082.
NdTE: A permit must also be obtained from the City o of Tigard Department of
Comma ity Development Yes _
CITY OF TIGARI�._ NSP ION REPORT
The above listed project has been inspected and Approved DP-nied
Date Ccrm*nts ~-
Sigrnatiure � �) f
(y3ru1di ng inApe.c nor. pQ l><t �t1t.�lvrri Ott 2 ( 1) CAP!
CD 2-87
�___ _—J
s
INNPp�Q�i�N NOTICE ��� .r
City o@ Tigard Bralldiaq DePartase9772
19115 BQ Hall ;!ltd. Tigarzd. meg
Inspection Line (Rec-O-Phorse)s 539-4175 Business Ph nes 639-4171
Inepoctlons -
Underelab Koch. Rough-in 1ppr/'Sdwlk
Footing Plbq.
Ga► tine FINKT,:
P1b9 Top Out
Found.
dost/Beam 8truct, San. Sewer Framing -Bldg.
-Plumb. ,r�4
Insulation t'¢
dost/Beam Mech� Rain Drain
-Koch.
Plbg.Lind-ril�or Nater Lina
Gyp. ed.
sseateds, T,.ne:
Date RegAK PM �' �iVr a ry ?
7 f
Address., V ex-bN (A, _ Permit 0:
Builders
THE FOLLOWING CORRECTIONS ARE REpUIREDs l I
Inspectors_ Dates �,_�'�
-PROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVE
Call For Reinap.
.... .._...-......-_................ _._...::.gv:w:iVi.yyWPP:xe�.i'!+.'R'(dW�'�,'Y:'aiS1iAM1L•w4Wk.P.MiVfNM 'I,".iarre•.+.w...--,......-...
INSP�FCPION NOTICE
fp
city oP Tigard Building Department13125 aw Hal: Blvd. Tigard, Oregon97223 .
Inspection i.i,ne (Rey.-O-Phoue): 639-4175 Business Phones 639-4171
7
inspuct:.�n: --- --
Footing Plbg- Underslah Hoch. Rough-in Appr/Sdv,ih
Found Mg. Top Out Gas Line
Post/Beam Struct. an. sower.l Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg• Underfloor Mater Lim Gyp. Bd. -Nech•
q t
Date Requesteds I -( - i __Timet: I--A! —P![
Addrees:.� �Cs1f/��C V� l _ Permit Ss�_,
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,
Builders__ Vl «far
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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/� .
Ine
pector�_ 1 ,.«� Datas /_l
\ \�_AYPROVED DISAPPROVED APPROVED SU Cr TO AROVR
-_Call For Rel.nep.
I _�
MAW
MAST"E'.R r"»'l:PMI T
CITY OF TIGARD --0305
COMMUNITY DEVELOPMENT DEPARTMENT DATE_ ISSUED- 10/26/93
13125 3W Hell Blvd,Tigard,Oregon 972£3.8199 (503)639-4171
.215i lEif4D- LAED '7
16628 ':3W JORD )N WY
SUBDIVISION. . . . : SE:DFORNO GLEN l..1NING:
. . . . . . ..37
BUILDING _-�....____.._._....__.. ._.__.._.._____.__ ......_.._ __.._..__.._
T SSUE: DWLLL_ 'N �11�1 I (.�: 1 BP".3f:-01ENI . . . . . . . . :0 a f
::LASS 0" WORK. :NEW B"DBMS::. DATHS. GARAGE. . . . . . . . . . :x+62 s f
A
r'YPE. OF USE. . . :S F-00R AI(L`faS..___. - . .._ .._....,._ REGIUIRC•:J
'YPE. OF CONST. :5N F I RSI. . . . : 1527 c f= L_E:F I'. . : 18 ft; !TIGHT'. :`; f t
C!C'CUF-,nNCY C3RP. :R_; Sk-C0NU. . „ :V, s f F RON'T, :20 f t REAR. . tali) t! �
r c 0 s f RE QLI C ......
,CIGH7.
. . . . . . . . .. 17 1't COTldI_ _.-. 1'5E7 SF `aMOKE:, DETEC:TURS. :Y
LOUR LOAD. . . . : 40 psf VALUL'. .. . . . $ : 78558 PARK INC.) SPACES. . : i
I�emu�r'6t'a: PATI-'1 I ■
_._..__..._..__._.._. _.._._....._....._ 1-'LUMB I hG •_._.._.._.__._.__._._. _...____.�_....__.____._.____.,_._. __ __....
I1�.IKG. . . . . . . . . . : 1 F"LOOK DI•tr11NS. . . . ;Q1 IaA( I!FI._.OW PREVNTfiS. . :ip
WATER HEAI'ERS. . . : :1 T RAPS. . . . . . . . . . . . . . :�
UB/SHOWERS. . . . ;c; LAUNDRY 1RAYS. . . : I C:;f'aTCI-I BAIG)INS. . . . . . . i1/1
;.)A)-ER (�L.USE.TS. . :2 SEWER L I NL (ft ) . :0 GREASE 'T'RAPS. . . . . . . :0
WAITLR LINE (ft ) . : I1110 f:)'1"I{EI'3 FIXTURES 5. . . . . :17.1
GrAIRBAGE DISP. . . : 1 RAIN DRA:N (ft ) . :til
WAIIii.-IING MAL':IJ. . „ - 1 ISS PAIN DRAINS— : 1
MECHANIC F1L. _.__.. FEES
FUEL TYPE13._......._.._._._ _._....._. UNIT HTR3. . :0 t`/pc, Amoi.lnt by r..at e! r^ecpt
/faw1S/ / / VENI'S . . . . . .0 BVIRT $ 3712). 00 JH 10/'6 9�, -
MAX INPUT:0 LTU VE:N'T F.ANS. . :.3 LAPLU 14-0. !710 ,JL.I•i V5/21a/9.:r 93--c24045",
BURN ( 100K . . : 1 HOODS. . . . .. . : 1 BY:1C $ is. 50 JN 1111/�f: I93
"t11-3114 ) =-100K . . .0 W'-1ODS '(jvES. :0 1113C !K 35. `71121 STH 10/26/93 -
--L.(JLJR EURN. . . . :0 LLU DRYERS. : i MPR'T' 4111. 50 JH I(Al:6/93 -
' lo'mER UI1•1I TS: 7. 11PA-C 111.1. 1.,s .JI! 10/ :61'3 s _
GAS OUT'LE:113: 1. M5PC: $ .:_. 07, .JH 10/26/93
__.._..... ».,...._._ -_PPR I" ! . s. 11.1111 ,.f14 10/2GII)al '-•
BEACON HOMES P15PC 4. 6. c:b JFJ 10/26/93 -
1-' () BU); 1,'366
BUAVE..RTON OR 97007
1503-524--1999
k EnCON H01,1ES
!)500 SW 1057'H
laE�l=aVC1d T'CihJ Uk �3';X14.�;
Phonei O: 584-1999
$ 1_•4",1. 4;. fO'TFaI._
This permit is issued subject to the regulatiors contained in the REQUIRED INSPECTIONS ~ ~ --
Tigard Municipal Code, State of Ore. '.Specialty Codes lana all other Foot/fo1_!nd Insp F=ir enlace Insp
appiicable la.1s. Al: work w:li be done in accordance with apprrved Post/Sesm Str^1.1ct G.As Line Ins.p
plans, This permit will expire if work : rted within 160 pc�:at/1:1eam MechEm Ins' lare: ion Insp
days of issuance, or if work is sued fo>• O e +han 18r da f'lm/�InciFi l.at) Insp Cayp Boar-d Insp
PL_1y1/Under^f'l ooi- Rrii,l drain I n S P
f='ermil ,:e1; 411a(:J.1re :'Wv Mec:.tiz-xnlcaI I n%p WLater^ Lj.ne IT•isp
F'1'..mb Top 01_rt Appr iFadwl.l<. Cnsr
Im'r�1_tt?cI F35 a I: r`ami.r.y Insp Nler..trani.c^�'I. E ''ik�l.
Cn1. : 'w1^ inspect ion r, 9 417 5
J ,
' ''� ! 4,0
g. + �l,ra n Lri i �•;5. ,,v tiMfr* I
i
2 IC
i' r r uiu sw i tan ntid. I'LNCK/REC T N
n / ; 1,0 Box 7-1.497
, m �� �u n�� »71
PERMIT N -- - -- _— '
t;�:a conTntuN�fl n� vrt,nrn�rNr i�rr�uTn�rra� „�9
g ;,
(503)4:1941)1
DATE ISSUED
-- 1
JOB ADDRESS: 16628--• SW Jordan Way TAX MAP/LOT _3^{-
SUB. BcAford Glen __— LOT: 37 — (_AND USE:
VALUATION:
OWNER SPECIAL NOTES
NAMt: _ E7PaCOn IfQnpa, rnc. _—�--- --�_ REISSUE OF: -
ADDRESS: 9500 SW 125th Ave. — LAST REISSLIE:
�— Beavertcri,—OR 97005 FLOOD PLAIN/ ■
PHONE: 524-1999 _ — SENSITIVE LAND:
f CONTRAC`I iAl APPROVALS REQUIRED
1 N11ME Beacon 11mes, Inc. --- -v___---- PLANNING:
ADDRESS: 9500 SW 125th Ave. _ — ENGINEERING:
- _—Beaverton, (R 97005—V _^—__-__---- FIRE DEPT: -
PHONE: 524-1999
CONTR. BOARD 70782 EXP DAIE: 12/93
II:EMS RQ QUIHID
� I
SUBCONIRACTORS: PLUMB: — Canby Plumbing _ LIST/SUBCONTRACTORS:
MECII: Muehe Qlalilty ITeating BUS TAX:
i
RCII E GINEER CALCULATIONS:
I NAME: ArgoArchil.e!ct/AIA TRUSS DETAILS:
ADDRESS: �_ 16325 SW Lk-_-ones FerLy Rd. 201 —� OTHER:
Lake Oswego_,_OR 97035 _
PHONE: 636-0755
PROPOSED BLDG. USE: Residential
COMMENTS:
1
APPLICANT SIGNATURE
!%eceivod By: _ Dile Received:
k,al
ryT .
y
Ali
• ,CJI •1 .��.. 1'. r:R ...
PERMIT 0 ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE .
f14-3-03o-5 10-432 00 Buildang Permit Fees
-)D- 37u
10-4S. 9G Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%)
Building -_
V '
Plumbing
Mechanical
■
10-433 00 Plans Check Feed
Building _� •
Plumbing _
I Mechanical 0•
i
10-230 06 Fire — -- -
30-202 00 Sewer Connection - ---
30-444 00 Sewer Inspection >
25-448-02 Commercial TIF Fees
25-446-04 Industrial TIF Fees —
25-448-06 Institutional TIF (Fees - -
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees —
25-448-05 Mass Transit TIF Fees _ -----
52-449 00 Parks System 0ev Charge (PDC) _ I
31-450 00 Storm Drainage Syst Dev fhrg
(SSDC) - —
24-445-01 Water Quality (Fee in lieu of)
24--445-02 Water (quantity (Fee in lieu, of)
� 1
TOTAL —
naif 3587P.WFF
a-,
J
19
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CITY tJT l 1 CiARF) - F41;(j I 1-''F U1 F-'HYM nN 1 FtE:(:;F.I I'"T NO.
t;fiw c;F< t•IMOUN r o 60/. 41
ClOsl•i HMUIIN T W• ��
NAMk o NI .FaI:;IJtJ Iil:Jhlf�`' f44YMI:.N T DA TT
AI)TJRF_£3ici s
SUBDIVISION
�{='L.IFiFjC)E3k 17F� PAYMFNr F•IMOLINI` PPI 1)
1'UHG'f'l�;E;: I:IF� 4'F1YMF N1 WMt.11..1N1 F'WL �I
M 7V. 00 i'' IIMEI Nf3 -F RM
ISUIL91IJf. PERM S
SMF::HANICAL. Fr 4N„`,VST.
00
4' jpl._AN (;HE=T A FF 1 3, HEWER C W.iP A
i
.j
, -OT 3 J BEDFORD t'RD 01 EN
;W JORDAN WAY
;TnTAI.. AMOUN i' F='(W I T? __ 60 . +1
i
� T�" , I":•, 1�+ :�:`I t I .: �y., di �i '.51 t� e�ik 1 �I����'�J�� 7i ��
I,.
� 0 I
unifl®d
SANITARY* DD o
seworerage I
'M r�C ER
168 N. First Ave.,ST270,Hlllsboro,Or,97124 SURFACE WATER
603 648.8621
Cf1NNE:1',1 TOIL! 1`V.101 TT
ITAri'. , C'C'RMI'r 105081.
:CS;:;II.:: C)nT�: 1,0''.".3 EXPIRATION i�Al'(' 04;'..484
F'ROJEC I-: i Y 39
STRUCTURE ALITIRF..SS i 6620
,
!: 'I'Rlll;'I'lII2G: -,;TRFA"'T M-1 •IURDAN _WAY L 0.1. ;7 EI I. f)("K
1119 F+r:tai"11RC! OL..f:N PHASE
TYV'F. GOMMI...CrION• Nw.W
TYPE: IN5TA1 L.ATION.- ...�I.ryt)1. 1�IL,�tI��10YRCj C;CIN/!:;T1C
TYPE, t:1t;CUPAMCY t 1 ) `3INOLE FAI•I CI...Y F'nh(;i:l. 21,31 1.6 AT) 21100
CiTR SEG 4.716 MH 10092 M
C1Wil1::1 AI-:t1GON HOME'S ..,tf,) iq ,)I
TRE.1'I,P1k:N ',,F?l.f+NT D111':HnM
FtJ.'1ItFiE:55 194.E NlJ a (�!1 F# ihu7,0
BEAVI::R' 030
rr ,
gg
jr,llfit4F r=24 .I9t;9 - JURIS11
I
_...LXCUkE... . .. ECIl1TVftI.F'N•L.....' ......._.. .,._..LIWF"LLXNC,T. .......... .. ,GF !:;l11F.::NT7AL.
I.1lJ1: I'S ':il':RUT:l:r: UNI r,:i 0 )0F:RUICE UNITS 1.
CON1dE(', i ION F FEg ;VFI.. IPMF.N1 FUS
F"S
I
';i=ldf::l� C;IIMMI:"Ci'1'I(TP! 2200 00 WA CF.R 0IJA1. 1: I'Y' 1H0 .00
LEf.,S CRF 1lIT i 1:0 , 00:>
WAT171Z nLIANTIT'Y 1.00 ,00
LESS CRF"IfIT 0 , 00:
EROSION CUMTRUL
INSPECTION 40 , 00
PLAN CHECK 261 ,00
SI.1lT 1' 1TOL "'?120 ) ,00 SUBTOToL 166 ,00
TOT 1 231.+6„ 00
API''t. NAME RAY i)IMCK
AFF"ILI. IATION RFP
REMARK 19' p•�F.tC:.I1F'ORLI 81 !:! I..CI1' 1; 37
*2HOfT C R 0 9 1 C)NTROI_ INSPECTIONS RF.CIl1TRED
,.,IONA UR
r Itiiilll: 1 .1" � .ri .I 1
Pemuiit CoIio is: Tire applicant agrees to comply with all rules and regulations of lho Unified Sewerage Agency. When calling for an Inspection, please
refer to the Permit Nurrtw. 'rho Permit expires one hundred eighty (100) days from the data of Issuance. fie Agency does not guarantee the accuracy
of the location of side sewer lale als.
7/93 WHITE - UB.r►, BLUE - Accounting, GREEN -Inspection, YELLOW - Customer