12420 SW KNOLL DRIVE-1 12420 SW KNOLL DRIVE
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RECEIPT #9712
Ufunified
SEWER PERMIT NY 21853
Sewerage Agency
of Washington County CITY OF _ Tx.ga_rd DATE _. 10/14/8.1__
OWNER : M. in . Wi llia g PHONE : 639--6473
OWNEr( 'S ADDRESS: .- 420 tiW Knell give
TYPE OF INSTALLATION:
® SIDE SEWER Ll LINE TAP AND SIDE SEWER IJ LINE TAP
T`(r F OF OCCUPANC';:
❑ NEW ❑ EXISTING ® S;NGLE FAMILY COMMERCIAL
® EXIST. (PRIOR TO 7- 1- 70 ) ❑ MUL'i. RES. ❑ 114DUSTRIAL
FIXTURE UNITS-_ DWELLING UNITS
ADDRESS OF STRUCTURE : —+ 2420 SW Knoll Drive !_
Permit Conditions: The applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
When calling for inspection, please refer to the Permit Number. The Api licatinn expires in one hundred twenty (120)
days. The amount paid will be forfeited should expiration occur.
The Agency does not guarantee the accuracy of the location of side sewer lateral!;. If the sewer is not la:ated at
the measurement given, the installer shall prospect three feet in all directions frr',ir ir;e distance and depth niven.
If riot so locLted. the Installer shall purchase ? 'lap and Side Sewer' Permit at the currer.t charge 3n.% the ;,-ency
will instail a lateral at the location specified by ;, A installer.
FEES:
PEOMIT FEE s 35 . 00
CONNECTION CHARGE 30(1 .00
LINE TAP INSTALLATION _ Penny Liebe.rtz
OTHER ISSUED BY -----
p
TO335 .00
14/81
. �•r:�r. 1' '.,c�/',* APPLICANT - DATE -- -_-----
I r
y Ti i.
WILL
SEWER PERMIT
W 23853
ADDRESS OF STRUCTURE 12420 SW Knoll Drive
TAX MAP 21-;1 -I RC -TAX LOT 1000 -- SYSTEM
SYSTEM
LOT ----L---BLOCK OF _ Tigardia Terrace
dwh 10/1.4/81 _ _ pl 10/14/81
APPROVED BY DATE ISSUED BY OAT[
D. U . ' S '_ REMARKS 4" house sewer, pump & fill existIng septic tank
`�� per State Code.
SEWER PERMIT No
Unified Sewerage Agency T'' DATE 0'
of Washington County CITY OF .-- l
14. 01
OWNER : __dam h4t W1�(+," �- PHONE : 63Q. 4q?3
OWNER 'S ADDPESS: _ 1�-'�Zd g4.3 404 'br•
TYPE OF INSTALLATION:
❑ SIDE SEWER ❑ LINE TAP AND SIDE SEWER ❑ LINE TAP
TYPE OF OCCUPANCY:
❑ NEW tv EXISTING SINGLE FAMILY ❑ COMMERCIAL
EX'ST. (PRIOR TO 7 - 1-'10 ) ❑ MULT. RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS d�ble,,.___
ADDRESS OF STRUCTURE :
Permit Conditions: the applicant ac-ees to comply with all rule; and regulations of the Unified Sewerage Agency,
When calling for inspection, please refer to the Permit Nuriber. The Application expires in one hundred twenty (120)
days. The amount paid will be forfeited should expiration occur,
The Agency does not guarantee the accuracy of the location of side sewer laterals. It the sewer Is not located at
the measurement given, the installer shall prospect three feet it all directions fro,n the distance and depth given.
If not so located, the install-r shall puI&chase a 'Tap and Side Sewer' Permit at the current charge and the Agency
will Install a lateral at the location specified h, the installer
FEES:
PE11MIT FEE
r,, ANECTION CHARGE 300
..INE TAP INSTALLATION
OTHER ISSUED BY
TONAL
APPLICANT DATE --
SEVIER PERMIT
ADDRESS OF STRUCTURE ,ZO _
TAX MAP �'�- ` V?C^ TAX LOT 000 _ SYS 1 E M
LOTBLOCK _ 0 F III
__- - —!a - 81
AF4VED 3Y DATE ISSUED B� DATE
�� � '1fl
D . U. ' `> .,08%e,_ REMARKS '1 hD G Te��+" P O�$1. S �1'�4-•kr�'