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INSPECTION NOTICE ;
City of Tigard Building Department13125 811 Ball Blvd. Tigard, Oregon 97223
Inspection Line (ROC-O-Phones 639-4175 Business Pho -4,3,/'
Ir poctiont y
Footing Plbg. Underslab Mech. Rough-in Ap�prr/Sdwlk
round. Plbq. Top Ou: Gas Line �allf�se
Post/Beam Struct. San. Sewer. Framing ldg,' �
Post/Beam Mach. Rain Drain Insulation -Plumb.
�I Plbg. Underfloor Nater Line Gyp. Bd. -Mech.
Date Requested!_ �/ ? —Time:
Address: �(-Ct l� �� Permit �: G
Builder:
i
TBE FOLLOWING CORRECTIONS ARE REQUIREDt ;;; q
iva 7 �' — — -- -- --
e0ekiAl e:�"? /dui S GX
o vo —fa/
Inspect_ort— Date: -
--✓_Al?PROVILD _ DISAPPR0117D APPROVED SUBJXM..' To ABOVE
—_call For Reinep.
1
_ ... • .. ... .,. sees — -I
CITi" OF TIGARD CERTIFICATE; OF'
COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY
1 14125 S%V Hell Blvd,Tigard,Oregon 97223+8190 (503),839,-4.171 Pv RM I T #. . „ . . . „ I lvls(93 a-1_130_,
9 -41 y 1 GATE I SSUED 111/18/93
i PARCEL t 2S i 16AD--BED39
1
SIJE ADr)RESG. . . z 16633 ,W JORDAN WY
SUBDIVISION. . . . I BEDFORD GLEN ZONINOv
BLOCK. , • • • • • • •.' a._.__._._....,__LUT_._,.._._.__._. . . . . . . . . . .
.___._.4.39_.__,w.__.___..,___,.____..____....__..__._.__.__...__._____ �
CLAWS Y OF WORK. I NEW
CYPE OF USE:. . . I SF:"
OCCUPANCY GRP. I R .',
OCCUPANCY L_UAD I 1 :9 4
TENANT ;VAMC. ., . I
� r
F?pisArftctI PATH I
DEOCON HOMES
CQ BUX 1368
T3L OVt_.RTON OR 9'7072
r:hone Na 524-1989
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BEACON HOMES
1
9500 SW 125TH
BE'AVERTON OR 97005
Phone *t 524-1991
flop #. . a 70782
Occupancy of the above refvrevired L tci ld'ing ; a hereby yivan, and certifies
the compliance with t:f►e► State Of t]rwgon Gpecl..�lty Lodes for the group,
uccupaancy, and use under- which the referenced permit was isluued.
F5
pCPARTMENT G I F_C'r()R
_..__.._..._ �;
Bum . I Nu or-
PCIST IN CON9P I CUOUS F IL(ICr
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IWOPECTION NOTICE \t J
City of Tigard Nullding Departmser,t
13125 SR Ball Blvd. Tigard, Oregon 972t3
Inspection Line jRec-O-Phoneys 639-1175 Business Phene:: 639-4171
Inspections _
s
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out ass Line (__FINAL:
Post/Beam Struct. Sa•s. Sewer Framing (+-Nldg. /
Post/Beam Mesh. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd.
40000
Date Requesteds 1( .Gime= _—_AN PM 1
Addresses 1i ( 7 J���C�Cti(i� �,1 Permit Ir_
THE FOLLOWING OORRECTIONS ARE REQUIRED:
14 11
(: � �VZ c�i✓'� •�v,.�-�(� 7�`�.�. C�.ivy�_ "���
C�5 - ---
C� y
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Date:
--APPROVED _ �DISAPPR:IVHD APPROVED SUBJECT TO ABOVE
__Lee ll For Reinep.
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INSPECTION NP'LICE
City of Tigard Building pepartasent
13125 SW Ball Blvd. Tigard, Oregon 97223
Irspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspect ion:_ -- --
Footing Plbg. Underslab Mech. Rough-in Appr/Sdw7.k
Found. Plbg. Top Dut Gas Lin, FIN
Poet/Beam Struct. San. Sewer Fzaming -8149-
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line [�t Gyp. Bd.
Date k, questad: \ \ -- —Time: AM PM .
j 7
Address: Permit
Builder.:__
TIDO FOLLOWING J\ORRIs'CTIONSnA�R1E REQUIRED.
?_�'1 Zr ■
All
V"-rc) kA,, --- -
Inspectors -7 1 Date:
APPROVED V DISAPPRO�TD _ _ APPROVED SUBJECT rO ABOVE
e L_ Call For Reinsp.
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XNSPBCTX2N NOTLE
i #7itp of -lgaed Building OaPartment-
/�-
13115 811 Ball Bled. Tigard. Orogoa 97223 * ,
Inspection Line (pec-YPhone) 639-4175 Business Phone: 639-4171
Inspections ------'_'-_
rooting P1bg. Underrllb Mech. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gam Line FINAL:
y
Poet/Bealraroinm struct. San. Sewer g -Bldg. .
PostiBeam !loch- Rain main
Insulation -plumb.
Plbq. Onderflour Nater Line
yp. ad,) -Ne--h.
1 L "�5 Time AM -_PM
Date Requested: /
_
7� rc� (/� Permit #293
Adiress: , k
Builder:
THE FOLLONIP.• CORRECTIONS ARE REQUIRED:
0-7
Inspectors ' '! `\ _-_---_ ---� Date-APPROVED DISAPPAOVBD APPROVED SUBJECT TO ABOVE
i
� lheyv '� Call For Rei.ngp.
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City of Ti9nrd Rsilding DeP t
13125 811 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone)s 639-4175 Business Phones 639-4171
Inspection:-
rooting
Plbg. Underalab Mech. Rough-in Appr/Sdw?k
found.
Plbg. Top Out Gas Line FINALS
Post/Beam $tract. San. Sewer Framing
-Bldg.
Raf.n Drain �lnsa1atios)� -Plumb.
Poet/Beam Mach.
1•lbq. Underfloor Nater Line GYP• Ed.
-Mach.
c. I P11
Time:
Date Asgaesteds
y
L' ( _l Permit fs��)>
Address cKtgri ' �' ' ��Y 1
`�IQ.�I �1��� I 1�I l� f �f J 1�y, ➢ ��Ld'r�J�M1�1. 1}.
Buildersvel' t
1 °a try;
REQUIRED: •) �taSc
TBE FOLLOWING r.O�RRECTIONS ARE REQ DF wk vSshyr`rsk 't'
S� b
�
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le 't,At t(� k
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,R_ �..✓�.�s�,�� Wim/'`„ "vc
Inspectors_ \" L-��"�— Dates_
APPROVED DISAPPROVED APPROVED SUB.RCC TO ABOVE
----- __
Call For Reinsp.
1 INSPECTION NOT_CE /1
City of Tigard Building Doparta eat
13125 go Sall Blvd. Tigard. Oregon 97223 �t 17
Inspection Line (Rec-4-Phoned 639•-4175 Business Phone! 639-1171 y` �
Inspect ton, ___- .--�-- ---`
A r Plbg. Underelab � Mach- Rough-i,: PPSdwlk
!Doting / �
Sas FINAL: � 4
Found. Plbq. Top Out Line ++
{0 f
Poet/Beam Struct.
saki. Sewer
lr7cminq -Bldg.
Post/Beam Hech. Rain Drain
Insulation -Plumb.
plbq. Underfloor Water Line
Gyp. Bd. -Hoch.
I 7 - GJ _ Tialet AH PH ■
Date Requested,
Address:
to Co 3 _11-y- fur- C, -i Permit #s____4
Bulld,iri_?)PA e, -Y, h'�r��� ■
TBR FOLLOWING mRRECTIONS ARE RSQUIREDi
_ _ Dats��
LrtepeG'1�\\or i
\' APPROVED DISAPPROVED APPROVED SUBJECT Tn ASO"
Call For Re.insp.
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City of -Tigard Building Depart--t
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone)s 639-4175 Businenn Phone: 639-4%71
Inspection:
ioc`_inq
plbq. Dnderslab Mach. Rough-in Appr/Sdwlk
pibq. Top Olt Ons Li .o TINA.:
round. !
Post/Beam Struct. San. Sewer Framing -Bldg.
•,ost/Beam Rech. Rain Drain
Insulation -Plumb. .
Plbq. Underfloor Nater Line OYP•
-Mach.
Date Requested: 1 13 -----Time --PN
Address: L' ( / � L� X�'- i armit f s �' j' ■
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED: �
a;
u
rr"r,
Inepacto Date
t
APPROVED DISAPPROVED APPkJVED SU CT'TO Aobw
Call For Reinap. I "sHyi!
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city or Tigard Building Depwrtaent
13125 BM Ball Blvd.. Tigard, Oregon 97223
Inspoct'on Line (Rec•-r)-Phone)e 639-4175 Business Phoun: 639-4171
Inspections_ i l',;\� > r `t I*T --
�r
Footing Plbg. Underelab Mach. Rough-ii Appr/Sdwlk
round. Pl.bg. Top Out Cas Line FINALs g,
Post/Beam Struct. San. Sewer Framing -Bldg. 4
Post/Beam Mech. Rain Drain Inoulation -Plumb.
Plbg. Underfloor Nater Line gyp. Rd. -Mach.
Data Requesteds > 7A - 1-7 `/_: Times _L—AxPM
Address s l��� 3 7> ,1y A,4 V\ (JJ4 Permit f s ?J" �}343
Builder: �� 1 _. f >D _
■
THE FOLLOWING CORKwC:TIONS Ak.: REQUIRM
r
Inspectors Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVt
Cull For Reinsp.
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Nu Sgz SON NOTIG'E
City of Tigard Building Department
13125 SN Hall Blvd. Tigard, Oregon 972�dL� /
Inspection Lina (Rec--O-Phone): 639-4175 Business Pho 639-4' .1
Inspections__ ,—
Footing Plbg. Under.elab Mech. Rough-in Appr/Sdwlk J
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer F.•aming -Bldg.
.."'-
st/seam Mech.' Rain Drain Insulation -Plumb.
P .Dater! r Nater Line Gyp. Bd. -Me,::h. O
Data -- _estedr_ !� Tues ---AM PM
Address, /(,.lr ' _� . 'L• I K//�- Permit Is.(Z
■
Builders
111E FOL1w,dING CORRECTTONS ARE RHQUIRED:
_ � } a•;r. ` rel}� ,e Ta.=,
l,ya v;r'4�fYr:
�i�al'a^fir
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Inspect�f.
PPROVED DISAPPROVED APPROVED SU&TECT TO ABOVE
1 r1
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15300:X 116th avenue.Fang City,Oregon 9T'"4 F!ane:6.39•4OS2
COMMUNITY DEVELOPMENT
APPLICATION FOR BUILDING PERMIT
y (Instructions as reverse
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1. NME OF APPLI QT: ��' 'm�� Phone No.
spy- i�� 9
ADDRESS;
{ zrRESS OF PROPOSED IMPROV&'= U L _ I '
2, 'TYPE r.F C�.NGE, IMPROVEMENT CR CONSTRUCTION EOR W'HIC-i PERMIT IS REQUESTED. �
DESC71BE; ERI'EFLY - AT7,pr"-T TWO r-OPIES CF PLANS UR DRA.WTNGS OF
,..� r 4 �n
FROPO�'� FsOJECT -Y 1A L
: -
3. NAIE ANr� PLI:RESS OF C:NTRACTCP. " K
PHONE NO.
4 NEIG'rMCFS WmO MAY BE AFFE=- BY THIS PROJECT WILL BE NO'TIFIID EKY THE CITY.
5. APPLICANT OR HER/HIS R 'IYITIVE MUST BE PP-T;O - AT THE PLA:4NING CCHSSION
MEETING NE{'I' FIELD CN -- �
REP`RE,Sc'NTATIVrS NAME PHOP,E NO.
(The Ring City ?tanning Commission will consider only those applications re:eived at least five (5) days
prior to ale loe
�( SIC�fATURE
APPLICATION RECvIVED BY DATE,
APPLICABLE FEE RECEIVED
PLANNING CCHMISSION DECISION: Approved Deemed
CONDITIONS �.
_ Oam__'P)e�)approved applications are valid far si!: mths oLly
Signature 4 Y Date
10TE: 0 '. on Hanebuilders Lax 6quires that all persons who contract for work an their residence be
registered with the Builders Board which weans the contractor is banded and insured an the jab site.
for your protection, be certain lour contractor is registered by calling City Ball Ph: 639-4082.
rJOTE: A permit must also be obtained from the Ci.ty of Tigard Dcpartsnent cf
Ccnmziity Develcpnv!nt Yes—Y No
CITY CF TIGARD INSPECTI24 FEPORT
,
The above lister project has bee�i inspect? and Approved Denied.__ i
Dat: Ccarrnmt- _
Sigrature_
(Bt. UJB Ling &"p e-to,, pZea se_ AgAu vt cr_z" ( 1 ) copy tin 'Ing r i y)
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MSO TION NOTA
City of Tigard Building Deparl�m r 111
]3125 811 Ball Blvd. Tigard, Oregon 9722
Inspection Line (Rec-o-Phones 639-4175 Business Phones 639-4171
Inspections " > r.
Tooting Pl.bg. Underslab Hach. Rough-in Appr/Sdw•.k j Kai44„ r
round, Plbq. Top Out Gas Line FINALS F �t
Post/Beam Struct. an. Boar Framing -Bldg. gra i.
Post/Beam Hoch. in Drain insulation -Plumb.
a
Pl.bg. Underfloor Mater Line GYP• Bd. -Nech.
- �_� / _—
Data Requested: Time, d
,
Addr «J 4Q , JL Permit f:
ess (
Builders d �N3or y,4 a, r r
rA2 FOLLOWING CORRECTIONS ARE REQUIREDS
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t Inspector:_ _�- _-_ _-_ Dates
1!
T APPROVED DISAPPROVRr APPROVED SUBJECT TO ABOVE
C
_ Call
For Reinap.
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IMUCTION NOTICE
City of Tigard Building Department
13125 .911 Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rer-O-Phone): 639-4175 Business Phones 639-4171
Insportion: — — —
Footing Plbg. UnderslaL Mach. Rough-in Appr/Sdwlk
ftm'nd. Plbq., Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor ter Line Gyp. Dd. -Koch. -
7
f
Date Requested) A / _Time: AM PM
1/L��
4 '� �i+✓ Permit �:
Address
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I
Inspeccor: ^— , _— Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_—Call For Reinsp.
P
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COMMUNITY DEVELOPMENT DEPO.NTMENT ��'.=t�I�A r #t. .
13125 8W Hall Blvd.Tigard,Orogan 07223019 503)e39-4171 r c,o��^..►Clfic'D x ,
UA , U I SRN r 17 J'a,.-J
_"Ww JORDAN W'?
CURD I V 151 UN. . . . : I;,-.,JF'i..i!?U GLEN ION i NG.
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1'0[lox 73397 PERMIT # h1 f� '
COMMUNITY DEVGf.OPM(-NT DEPARTMENT Toprd,Oregnn9nL1 _� �3 a 303
(S03)679-4171 DATE ISSUED
JOB ADDRESS: 16633 SW Jordan Wim_ TAX MAP/LOT
a -- s
SUB: Mord Glen LOT: 39 _ LAND USE:
VALUATION: _ S,U, `°
OWNER SPECIAL NOTES
NAME: Beacon FIane.s, Inc. REISSUE OF: m 5 07— 0�..-
ADDRESS: 9500 SW 125th Ave. LAST REISSUE:
l Beaverton, OR 97005 FLOOD PLAIN/ -
PHONE: 524-1999 SENSITIVE LAND: _ r
!' 0�NTRACTOR LPPROVALS REQUIRED
NAME: _ Beacon Hanes, Inc. PLANNING:
i ADDRESS: 9500 SW 125th Ave. ENGINEERING:
Beaverton, OR 97005 FIRE DEPT:
j PHONE: 524-1999 V_ OTHER:
CONTR. BOARD #: 70782 EXP CATE: 12/93 _
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: Canby Plumbing LIST/SU3CONTRACTORS:
MECH: Muehe Quality Heating BUS TAX:
RCN ENGINEE CALCULATIONS: `
NAME: Argo Architect/AIA TRUSS DETAILS:
ADDRESS: 1,5325 SW Boones Ferry Rd. 201_ _ OTHER:
Lake Oswego, OR 97035
5
PHONE: 636-0755
PROPOSED BLDG. USE: Residential' t
COMMENT'S: —
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APPLICANT SIGNATURE
Received By: — Date Received.
raF��Nii6v7drRAgw,x•wF'';;h M it-0..:; r.,.. ,,. -..., ...
16'4 �" t i'•r
PERMIT N5. ACCT / DESCRIPTION AMOUNT
AMOUNT P0. BAL. DUE
10-432 00 Building Permit Fees 3?5,
10-431 00 Plumbing Permit Fees 13 ..>-u L3?-,> U «�
10-431 Ol Mechanical Perm't Fees
10-230 01 State Building Tax (5x) Z,,7 21_
Building
Plumbing,
Mechanical u.3
r
a
10-433 00 Plans Check Fee
Building 1/7/0 a
Plumbing
Mechanical /0, 0 V
I
10-230 06 Fire
30-202 00 Sewer Connection
30-444 00 Sewer Inspection 3 3 a�
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
2F-448-03 Office TIF Fees ,
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC)
31-450 OA Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of) _
24-445-02 Water Quantity (Fee in lieu of)
TOTAL1
nq/3587P.WPF
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t CITY OF T I GARD RECEIPT OF PAYMENT RECL I PT NO. :93-2414-!-50
CHECK AMOUNT 6,3,1. 0,4
NAME: a BEACON HOMES CAFAI P •IOUNl s 0. 00
ADDRESS PAYMENT DATE:. z 06/17/91-,;
SUE{DIVIOTON
PURPOSE'. OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT' AMOUNT PAID
___.....__.__. _ _ ... ____....... _._ ___.__.._ ____._.._.._._•_ __ _......._. _ _ •__..
BUIL-DING PERM 385. kA0 I:711_UMF1'I NG PERM 132, 50 "
E::C:HANICAL PE= 40. 50 ST. BUILD PER 27. 91
'E.AN
CHECK FF 10. 13 SE=WF..R INSPECT 35. 00
e-'
I...(7T :39 BEDFORD GI-EN
16633 SW JORDAN WY
i 0TAL_ AMOUNT PAID - 7 6-,31. 04
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9
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^s"e� SANITARY 0UagencV,," a 0
tag N.First Ave.,Suits 270,M111001`0 Or,97124 SURFACE WATER
803 6488621 i
CONNECTION PERMIT
I . . I
1:SSIJ1: DA'fF: 061'793 EXPIRATION DATE' 1!1,493 Pk.k1[T 1J44';'i;
STRUCTURE ADDRESS 1.6633 PRU.i%'i:'I' 1 ',';Iy !I
STR1.1f.T1.1RE STREET S(d JORD,A,D .WAY LOT . '' BLOCK
T'YF'F CI]NNEC,TION• NE'
-N OF BEDFORD OLEN PHASIC. 2 I
TYPE. .I NSTALi.ATION- ( ~9� 81:b "3ldf�/ERII MIN/SIIC
, MV1 Y PARCEL. 2131. 16 01) 27,500 I
TYf�'I'; nCCUI ANf;Y - ( 1 ) ;3INf11..1: FA
QTR SSC 471.6 MH I x..109"cHMER DEACON HOMES
.0
ADDRESS 9°500 SW ].25TH TRFATMCN1 F'LAtJl IlllltF;�r1
BE:AVE:RTO N OR 97005
PHONE 524-1.999 JURISD
FIXTURE E01.1IVALENT I lJf 11. TNO RF)JDf NTTAL ;
UI,i'I:'rS '3F'RVICE UNIT!:, 0 , 0 UNITS 1 �311RVCCV.' UNIT;:; 1
CONNECTION FEES SUM OCE WA1 ER rIF. VI':I..or'MF.N'r 11=.F:
�i
SEWER CONNECTION 7.100.00 JATFR QUALITY 180.00
LESS CREDIT 1 (10 .00:::
WATER QUANTITY 1.00. 00
I LESS CREEDTT 0 .0(x::
EROSION cnNTROL
INSPECTION 40 .00
PLAN CI•IFCK 26 . 00
i
9UrtTOTOL 2100 ,00 SUBTOTAL 1.66 , 00
T OT 1)1. 22 e. 6 , 00
i APP MAMI:: PF ITR KIIY :iK f 1100E
fiFf I:LLIATION VP
i
RE:MAPKS F'R0J#1939--11 DFORD �l_E'N ' --I (IT # :39
*24 HOUR NOTTU:: ,RO . ON CnNT'RfJI.. INSPECTIONS REQUIkED
i
I
S:CC)NA1'IIFcF _.. .. _..... __......._...._.... ...,. ... ISSUE.1.1 PY THOMPSON,JA
Permit Conditions: The applicant reel to comply with all rules and regulations of the Unified Sewerage. Agency. When calling
for an inspection, please refs to the Permit Number. The Permit expires one hundred eighty (180) days from the date of
issuance. The total amount paid (permit fee, connection charge, line tap fee end/or other charge) will be forfeited if the
r 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 give:, the installer shell 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 instell n lateral.
6/90 WHITE — USA, BLUE — Accounting, GREEN —Inspection, YELLOW — Customer
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