16669 SW JORDAN WAY M#� kr':i agfMuya»M4✓'rM^•nserM OM1 'SII".IYMIII M••r•�►MiMw"'Ax` �w "� RtM*r n �Nwt } :w ..
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INSPECTION NOTICCS
city of Tiga_-d BuildiD9 Department /
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.13125 BA Ball Blvd. Tigard, Oregon 97223 ✓"
Inspection Line (Rec-O-Phon,'+)z 639-4175 Business Phones 639-4171
Inr+pections_
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Pooting Plbg. Underslab Mech. Rough-in Ar+pr/sewlk
Found. Plbg. Top Out Gas Lino PINALs�
Post/Beam Struct. San. Sewer Framing Bldg.
Post/Ream Mach. Rain Drain !neulation '�piumb.
Plbg. Underfloor Nater Line Gyp. Bd. �e�ch. 4
Date Requesteds 2�+ , Timms _AM ON
Permit
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Builders txetrC
THE FOLLM140, ODRRSCTIONS-ARE R)$QUIRJWj____`
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Inspectors/I ---- --� Dat s: 0/ s
�?410VED DISAPPROVED 1.PPROVBD CURJECT TO ABOVE
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Call P Reinnp•
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CITY OF TIGARD CERTIFICATE Or
COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY
{ 13125 SW Hall Blvd.Tigard,Oregon 07223.6199 (5031A;9,-4171 PERMIT #. . . . . . . : Mfi"T''33-�i30 J
' 6 "f 4171 DATE ISSUED: 01 /20/94
I
PARCEL.: 2 G 1 16AD--BED48 s
;ITE IPODRESS. . . a 16669 SW JORDAI'l Wy
j SUBDIVISION. . . . a BEDFORD ELLEN ZON 1 N(:3 s
BLOCK. . . . . . . . . . . . . :48
------------1
CLASS OF' WORK. :NEW
TYPE OF' USE. . . :SF
OCCUPANCY (SRA. :R3 � ■
,.)CfaUPANC'Y l_OAD 1 117 4
1J.'"NAN7 NOME'. . . a
Y
f'(Am at"k PATH
Owneraa
OF OCON HOMES
1=10 BOX 1:168
BE±AVERTON OR 137075
Phone i1: 324-1999
I'�rnt rete t o►^: ..._,.._....__.__.�. _____......____...,..__.__....._�..,._
BEACON HOMES
9500 SW 125TH
BE AVERTON OR 97005
VIhoner Oil 324--1999
Reg #. . t 70782
Occookpanuy of the above referenced building is hereby given, .and cerrtifive,
the compliance with the State Of nrug,:r+ Specialty Coders for the groUpq
OCCLIpancy, and UfAe tandem which the refer•eancod permit waa. isst.led.
FIRE DEPARTMENT BU I C;Till?
__..__._ _ B J 1 J�L• CIAL ._,._..._.__....__._
POST IN CONSPICUOUS, GLACE
40
0
INSPECTION NOTIa
City of Tigard Building De'lactarm
13125 aw Uall Blvd. Tigard. crayon 92
Inspection Lino (Rec-O-Phons)t 639-4175 Business o t 639-4171
Inspect l.or
rooting Plbg. Undsrslab Mach. Rough-in Appr/Bdwlk
Found. Plbg. Top Out -+s Line IINAI�t- �
Post/Beam Str.uct. San. Sewer Framing
Post'Beam Mach. Rain Drain insulationlumb�.
Plbg. Underfloor Mater Lino Gyp. DrA.
r" _Timet AM —PM
Date Roquestedt
AddreaL. I I �i' 1 Y�1( jQ„ lA c, Permit +t
Buildert 1" e(1(`[)1
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THE FOLLowiN0 CORRECTIONS ARE REQUIREDS
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inspectors —. _ Dates—_
APPROVED DISAPPROVED AYPROVED SUBJECT TO ABOVE
Call Wer Rsinsp.
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INSPECTION NOTICE
City of Tigard Building Deparkaent
13125 B# Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Businesu Phoned—11-7/11,
Inspections
Footing Plbg. Underslab Hoch. Rcagh-in Appr/Sdwlk
Found. Yloo. Top Mt Can Line FINALS
Poet/Beam Struct. San. Hewer Framing .
Yost/Beam Mach. Rain D•.ain Insulation umb.
Plbg. Underfloor Nates Line Gyp. Rd. ('•Meoh.'
Date Requesteds / `-7 / Timet AM PH
Addr•JeY + Permit its/�
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Builders—
THE
uilders_TBE FOLLOWING COPF3CTIONS ARE REQUIREDs
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Inspectors Date
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APPROVED - ISAPYROVEIs APPROVED SUBJECT TD ABOVE
Cell For Reinep.
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INSPICTION NOTICE
City of Tigard Building Drpartaent +
13125 Sw Ball Blvd. Tigard, Dragon
Inspectior Line (Roc-O-Phone)s 639-4175 Ru no e: 639-4171
Inspections_,
Footing P;bp. Underalab Mech. Rcugh-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Post,'Ream Struct. San. Sewer Framing -Bldg.
Post/Bea m K".::. Rain Drain Insulation
Plbq. Underfloor Nater Line . W. ) -*r ch. bd ak
Date Requested: v_ I Time: i`� _1W Pit �'dir , s
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Address �L 41�.V' �,��t� Permit 3 '
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector
P� Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO 'Nam
�—
Call For Reinsp.
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INSPECTION NOTICE .�
u City of Tigard Building Peperta nt ~
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13125 So Ball Bled. Tigard, Oregon 9722r
Inspection Line (Rsc-O-Phoneys 639-4175 Buoiness Phone: 639-4171
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d• Inspection:_
Footing Plbg. Underslab Mwh. Rough-in A,?Pr/bu:•1k
round. Flbq. Tjp O•i.t _ as Line— rINALt47`
* Post/Beam Struct. Sen. Bower -� L '' -Bldg. �bppr
Post/Beam Hoch. Rain Drain Insulati011' -Plumb.
Vlbg. Underfloor Water Line Gyp. !d. -Hoch. f
Date Requested. I ' Time: AH PM ■
Addresea
Builder:
■
TBE FOLLOWING CORRECTIONS ARE REQUIRMI
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Inspectors � __ Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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W3'dLCUM NOTICE
City of T19&-d Building Departoent
13135 SW Ball B'Lvd. Tigard, Oregon 97223 //
Inspection Line (RocaO-Phones 539-4175 Business Ph'_'tLYl. 4 qq
Inspections -- t
Footing Pll.b--g. Unders1\ Koch. Rough-in Appr/Sdwlk
Found, 'Plbq. Top Out 1 Gas: Line FINAL:
Post/Beam Struct. San. Sewer lraminyi -Bldg.
Post/Beam Koch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line) Gyp. Bd. -Koch.
Date Requested: C L �C�� q�� Times �AK
�pM
Address s I l��/� L'r( ..1!\ LLLL — Permit s D _ ■
Builder: �olcCC� r �r�r5 Y�CG
THE FOLLDWINO comECTIONS ARI. REQUIRED: M w
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�f�r�,D /�ITLr'i�h,• ..7 5��0��� ?Z'
s lnepector: - Da
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API ROVED DISAPPROVED APPROVRD SUBJECT TO ABOVE
Call For Reinsp.
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KING CITY
-I� 15300 S.V.116th Avenue,Bing City,Oregor 97324 Phone:639-4082 Li
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COMMUNITY DEVELOPMl~NT
APPLICATION FOR BUILDING PE,'�MIT
(Instructions on reverse)
DATE _
1. NAME OF APPLICANT: oz- V) > 'r_ .: PP�0 )6---).,.Pho'ne No. S V-- 19 9'
ADDRESS:
.ADDRESS OF PROPOSED IMPROVEMENTtC c' c ��`r►,(�� (J" rt cam._
2. TZPE OF CHANGE, !MPROVEK=- OR CONSTRUCTION For, WHICH PERMIT IS REQUESTED.
DESCRIBE BRIITLY — ATTACH TWO COPIES OF PLANS OR DRAWINGS OF F ■
PROPOSED PROJECT: Y� 1 �'� —�t t L,�
. � �`�- •
3. NAbE AND ADDRESS OF CCNTFACTOR
PHONE N0._S '�L I CENSE NO.
4. NEIGHBORS WHO MAY BE AFFECTED BY THIS PROJECT WILL BE NOTIFIED BY THE CITY.
5. APPLICANT �IR HIM/HIS REPRESENTATIVE MUST BE PRESENT AT THE PLANNING CCMISSIC:J
MEET;.ii6 rirm T RELL ON
REFRESEMATi�'ES NA1tE __PHONE NO.
(The Ring City PI nni%q Commission will con-sader only 'hose applications received at least five (5) da;s j
prior to a meet, g,) /
SIGNATURE
APPLICATION RECEIVED BY ATE
APPLICABLE FEE RECEIVED $ 5 TO'T'AL G
PLANNING CCMMISSION DECISION: Approved Denied
CONDITION ,Jm P a^ —(( ll
Y7
r approved a��;
nations are valid for sii molths gnly
Signature e— Z lac I 1 Date C�
NOTE: n go
Bomebuilders Law req ices that all persons who contractor vurk on their residence be
r gistered with the Builders Board which means the contractor is bonded ;.nd insured on the job site.
For your protection, be c rtain your contractor is registered by calling City Ball Ph: 639-4082.
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NOTE: A permit must also be obtained f the City of Tigard Department of
Comnmity Development Yes- — No
CITY OF TIGARD INSPECTION REPORT
The above listed project has been inspected and Approved Deni pd
Date Comments
Sig--iature�_ ^_
Pdi_ng .in.spectruti pQ.Q.a— n,A.rot out. (1) cupq to King Ci,l._r)
CD 2-81
INSPECTION NOTICE
City of Tigard Building Department�
13125 8,1 tall Blvd. Tigard, Oregon 9722 1�'---
Inspection Line (Rec-O--Phone): 639-4175 Business Phone: 639-4171
Inspections
Footing Plt'g. Underelab Mach. Rough-in Apr_/Sdwl.'. p
Found. illbg. Top Out Gas Line FINAL: 9
Post/seam 8'tr'uct,,j San. Se •er Framing -Bldg.
st/seam Mea Rain D:.�i.n Insulation -Plumb. }"
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P Underfloor Nater Line Gyp. Bd. -Mesh. r .
>.
Data Requested:_ 2 1 C�_2 Timet AM PM
_. . .. e 1, 2 / 36( ,
Address: C:�/�/J(-� I,A-( Permit #t�7-L/.-�'CJ 1 �
Builders0� �
THE FOLLOWING OORRgCTIONS ARE REQUIRED:
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Inspector`s Dater
--` APPROVED DISAPPROVED Al PROVED SUBJECT TO ABOVE
Call For Reinap.
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INSPZCTION NOTICE
Cit,, or Tigard Building Departaent
1'A'05 SW Ball Blvd. Tigard, -ragon 97223
Inspection Lite. (Rec-O-Phone)t 639-4175 Business Phone: 639-4171
Inspections
looting Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Lino ,
F1NALt
Post./Beam Struat. San. Bower Framing -Bldg. ' "... p
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Post/Beam Mach. (Ra:n Drain ; Insulation _Plumb.
.,
Plbg. Undorfloor LYater L�f� t,,p. Rd. -Moth.
Date Requostedt_, L' C> Tlmet AM PM
Addressi—RO(PL ICJ -JUYA1,1-0 (/JaAAi
Permit Is I
Builders
TBE FOLLOWING OORRECTIONS ARE REQUIREDt
w, ,or--
Inepectore _ Datet
/--APPRCVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Relnsi..
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CITY000 101GARD
GOMMUNITY DEVELOPMENT DEPARTMENT a: '•�' a » "
13125 SW Hall Blvd.Tigard,Oregon 9722 F•9199 (60';639-4171
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a_'In .J 11 071218193 —
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�b Nrr�1t 1S 15SUt� SIIbJE�t t� the !'eL:, 3ii^ ;5 Ci11;di1:P17 1 *,r,e I0.,()l.!J Hl: U 10N.E
:gard ''+u^icipal Crude, State cf :ire. Sper'eit) ,.;:dsr yr aii Viler CT'
ppiicable is»s. Nil work wi I i be u9m, accmVe-ice wit^ appy, e:t G,7S Lino In
ars, i"i expire if wr(Y 's "C`. Sart? a,lih:!} ?�1 F':,7S t; +lf? YQ! {+I crGhr i In iCl tt ii,,This pet-ut w
_-ys of isjuancr, or if ',,ark ifr da Y s, nr .t:'.r:1t.J. t ir' sp F;yrs Paar'c.l 1.'
+r? "_r"I:Jc� "f tc:,al' i[.r1.ii C(ri.a1n
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1 I.fI1S SW 11a11 R1.•d. / —.-�—
CITY' 01" T `V ARD 10[low I ERMIT N
r Tigard.(7rcgan 970.3—'�_—` ------
COMMUNITY DEVELOPMENT DEI'AKIME,NT
y'1l (503)639-4171 DATE ISSUED
�yTAX MAP/LOTl-/�
JOB ADDRESS: 16669 SW Jordan Way
SUB: Bedford Glen LOT: 48 LAND I'7E:
VALUATION: 3 C/o� `w
OWNER SPECIAL NOTES
NAME: Deacon Inc. REISSUE OF: )A�H A U
r.
ADDRESS: 3.300 SW 125th Ave. LAST REISSUE:
F3eaverton, OR 97005— FLOOD PLAIN/
PHONE: _ 524-1999 — _--__ SENSITIVE LAND:
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CONTRACTOR APPROVALS REQUIRCO
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,,AME: Deacon Hcw.F, Inc. _ PLANNING:
ADDRESS: 9500 SW 125th Ave. ENGINLERING:
Deavertu-i,_OR 97005 FIRE DEPT:
i PHONE: _ F24-19'-'4 _— _ OTHER:
CONTR. BOARD 9: 70782 — EXP DATE: 12 93
ITEMS REQUIRED
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SUBCONTRACTORS: PLUMB: — Canby PlLmbiny_ LIST/SUBCONTRACTORS:
MECH: — Muehe Qjality Ileatinq SUS 1AX:
RCH ENGINEER CALCULATIONS:
NAME: — Arc,o Arc'.lit.ect/AIA _ TRUSS DETAILS:
ADDRESS: _ 16325 SW Doones r'erry Rd. 201 OTHLR:
Lake Osweqo, OR 97035
PHONE: 636-0755
['
PROPOSED BLDG. )ISE: Residential
COMMEWTS:
I
APPLICANT SIGNATURE
j Received By: __`-�?I` __ Dal.,, Recrived: _ _�_
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PERMIT 1- ACCT / DESCRIPTION AMOUNT AMOUNT PD. BAL.. DUE
Mid -03o/ 10-432 00 Building Permit Fees 4Y151 _ _ 4/) '_ I
10-431 00 Plumbing Permit Fees /3Z•,-0 _ j 37„-u
_ 10-431 01 Mechanical Permit Fees a` )-d '�-v f
10-230 01 State Building Tax (5x)
Building a. 7;
Plumbing 6",63
Mechanical c�2,0 3
' a
10-433 00 Plans Check Fee
Building e
Plumbing _
Mechanical
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10-230 C6 Fire
30-2^2 00 Serer Connection
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30-AA 00 Sewer Inspection
25-448-02 Commercial TIF Fees N
23-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees _
25-448-03 Office TIF Fees _
25-448-01 Residential Traffic Fees
i 25-448-05 Mass Transit TIF Fees
i
52-449 00 Parks System Dev Charge (PDC) _
31-450 00 Siorm Drainage Syst Dev Chrg
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(SSDC)
24-445-01 Water Quality (Fee in lieu of) —
24-445-02 Water Quantity (Fee in lieu of) _.
4
TOTAL 0 __,
nm/3587P.WPF
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.:w«waw+Po^.*w'A9IMN'✓$yAS'wWfN'.^uuM'M '�.'1a�".^'y"fi4!9�9. iX'�.'Er'Wfn.ry' ... . .. ., ... ... ... ., .. �.
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CITY C7f TIGARD - RECEIPT OF P'AYME'NT RECEIPT NO. 193--24266
CHECK AMOUNT 662. 54
NAME t HF.ACC]N HOMESCASH AMOUNT X11. QQJ
ADDRESSPnYMENT DATE � 07/,:8/93
,:i08DIVISI01\1
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I_IRF�t]fil= t;f PAYMENT AMOUNT PAID
►'1.1F'?F'Cl�3F OF P'AYMF�. r AMOUNT PAID
BUILDING FI1=_RM 415. 011) RL_t..IMAINf:., PERM
ME:GFIfNNICAI.. PE40. 50 ST. BU .A.p PIE=R 29. 41
F-L.F.-aN CHECK F=F.:: 10. 13 SEWER :N5F GCT 35. 00
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LOT 48 BF.Dh ORD GLEN
46669 GW JORDAN WAY
TO-IAL- AMOUNT PAID _. ._ ...- __.� 662. 54
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unified
a Sewerage
D
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agency
155 N. First Ave.,Suits 270,Hillsboro, Or.,97124 SURFACE WATER
$03 648.8621
CCINNEU.I.P14 PERMIT
0/:!093 EXPIRATION r.1ATF?: Ot'2494 F'CF'NVf t01�21: q'
r. TRUCTLIPF AriFIRESS 1.6669 PR0JF::C,T :I ;'';'9
�.;'rRE1 f SW JORDAN WAY w
L..01 40 El I..CICK `
TYPE cflTlN> C; f I:fl�! NEW fJF' 1:11::1i F'�0R1) l;I..F:N MiA"3f 2
TYPE: INSTALi_AT.T.C)N ( : 4) Bl. r+ `lJl't/E'kCl f.('1?d/rl+C;
r) I',I. UCf.;fiP0NC;`i ( i, ) ,)1:1`10,LC, I r A M I:L..Y i'AF?cf:I.. '??:;i, i..5 Ari 2C1 ?00
C)T R SEC 471 6 M 101O1i 1. �
0WIgIN 1:1LACON 1101-11K.5
oDDRESS 9500 SW 1.2"50P TRFATMEN'T PLANT i.1UNHAM
BE'AVF:R 1*0N Ufi 97005
PHONE 524- 1.999 .AIK'Tb1I KING CYTY
I= IXTURE EC,'!JVA1_.F.NT 1114r:::I.1. 1N(.1 1r1F�N'T1'.AL.
HN f TS 3f:F\V0C1L': IiNTT'S 0 0 1.1NII'S I F'RVIf:i` UNI'll I
CONNECTION FEE ; SLINVAU WATER r.1F:.VL_L.C)F'Ptl'NT Ff'F'S
SEWt.R CUNNI:C'1' ICN 2200 ,00 WAT'F"R 01.10.,11'Y too , 00
L_E13h CF';E:r.►r i 1 00, 00::.
WAVER 0 U A N T I T'Y 100100
LESS CRF"III'T 0, 0V;.
ERM31ON CiJNTROL r
a.
INSET-CT10N 40 , 00
FLAN CHECK 26400 I
S 1.)f+1'0l'AL. ? '0040 f;LlE+l'fI1AL 1,5�, , UU
t / TwiAI. 2,U,6 00
r-lf'I'L. Air+MT: PI: 1'1.'.lt KOY OK
i)FF.T LL 1:AT10N VP
1i-'EMAF4KS f R(IJ119:39- r1FDF"0RD GLEN ' I.,W!" ' 48
421 IIf!(IR hli:IT'If'1'.: F:RI'1 .T, I CONTROL. 1N?.;f'C: J10N!-; RCf,4UIRE1.1
AONATl1RE. . �..... ,.._. . ......_._ .. . _.. _. ._.. V',F;UF':r1 Fly JIMMPI. ONJA
Permit Conditions: Thi applicant Agrees to comply with all rules and regulations cf the Unified Sewerage Agency. When calling
for an inspection, rrease refer .o the Permit Number. The Permit expires one i.undred eighty (180) days from the date of
issuance. The total amount paid (permit fee, connection charge, line tap fee and/or other charge) will be forfeited if the
permit expires.
The Agency does not guar.:ntee the accuracy of the location of side sewer laterals. if the sewer is not located at the
measurement giver, the installer shall prospect three feet in all directions from the distance given. If not so located, the
i+ installer shell p,rrchase a "Tap and Side Sewer" Permit at the current charge and the Agency will install a laternl.
I 6/90 V31 TE — USA, BLUE '- Accounting, GREEN —Inspect,-in, YELLOW — Customer
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