10700 SW NORTH DAKOTA STREET-1 10700 SW NORTH DAKOTA STREET
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CITY OF TIFA RD *-4 PEAMXT NON:
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COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 41/119/EIS
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223.(503)6394175 Y.
PRM. P11411T.No. 8805, 62
J01*3 AUDI.-4ESS: 10700 SW NORTH DAKOTA ST
'VAX MAP/LOT SUB: LT : BK :
I AND USE :
1-01, S,IZE :
ITEM: NO : NO :
WOPIK CLASS : REPAXP WATF-14 1. TRAP
USE TYPE': SINGLE FAMILY Ur).TNAl UKr-:L..(]W F)FIVINITP
TYPE: VN I-AVORATORY TPAF, PPIMER
TUB 51+7WE.14 :1. GREASE TPAPS
DISHWA!-MEP
DISPOSAI...
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OTHER
PEMAPKIS :
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t3 FIXTUVIES
STATE:* TAX
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TOTAL : 1hc2.3 . 6 3
II- ECEIPT NO. ;'31.;31.A
This permit is Issued subject to the regulations contained in Title 14 .....................................................................
of the TMC. Stale of Oregon Specialty Codes. zoning regulations
and all other applicable codes and ordinances, and it is hereby
agreed that the work will be done in accordance with the plans and VLB.UNDEW-d AH
specifications and in compliance with all applicable codes and -)UST 8 BEA11
ordinances. The issuance of this permit does not waive restrictive "RATE I-INF.
covenants Contractor and subcontractors shall have current city PL.B. TUPOUI
business tax permits. This permit will expire and become null and FAIN EMAINS
void it work is not startqd within 180 days.or if work is suspended or
abandoned for a period of 180 days arty time after work has FT NAI
commenced. It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
Perrnit&e Signature
Issued By
StPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main S!.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Gate Requested_ 7 ' ' � —' Time — A.M. P.M.
Address y. `—�, =Y' �'�, = Permit
Lot # -------
Builder ---- —— - -- ---------
The following Buildinq Code deficiencies are required to be corrected:
1
Presented to Approved
Inspector __ ,'� Disapproved
Date --
!;ALL FOR REINSPECTION
YE= P NO
�w �► w� W ■Ir N
WASHINGTON INGTON COUNTY
\\ ADMINISTRATION BUILDING— 150 N. FIRST AVENUE
�\ a / HILLSBORO, OREGON 97123
BOARD OF COMMISSIONERS DEPT.OF PUBLIC HEALTH
WES MYLLEKIRECK, Chairman ROOM L6
BONNIE L. HAY; Vice Chairman 150316486881
EVA M. KILLPACK
JOHN E. MEEK
LUCILLE WARREN
March 18, 1983
Richard and Christine Boberg
10660 S.W. North Dakota
Tigard, Oregon 97223
RE: 60-Sewage and/or waste water
on the surface of the ground
10700 S,W, N. Dakota, 1S1-34DA-TL 2700
Dear Mr. and Mrs. Boberg:
It has come to the attention of the Washington County Department of. Public
Health that sewage and/or waste water is cischar.ging 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 Regu-
lations governing the disposal of domestic sewage and other household wastes.
Gerhard Matheis, Sanitarian, conducted an investigation and substantiated the
violation referred to above on March 4, 3983.
You are respectfully requested to correct this public health hazard by est-
ablishing hook-up to the public sewer available to this residence. For in-
formation on sewer hook-up, contact City of Tigard at 639•-41/1.
Since the above is a safety hazard as veli ns a public health violation, 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 H'"ALTH
Mary C. Sorenson, Director
Gerhard Mathes, Sanitarian
Environmental Health and Sanitation
GM:mf s:aat
cc: Department of Envirarnnental Quality
City of Tigard an equal opportunity employer
■r er Vr ff iwr r� aw tiff tt� t�
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SEWER PERMIT
Uji.
nified Sewerage Agency
of Washington County CITY OF l DATE
OWNER: aab PHONE : ��9-•�3 ¢�
OWNER 'S ADDRESS: i b ?oo 9io Aja
TYPE OF INSTALLATION:
❑ SIDE SEWER ❑ LINE TAP AND SIDE SEWER ❑ LINE TAP
TYPE OF OCCUPANCY:
❑ NEW ❑ EXISTING bfSINGLE FAMILY ❑ COMMERCIAL
EXIST. (PRIOR TO 7-1--70 ) ❑ MUl_T. RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS 0st e
ADDRESS OF STRUCTURE : ZkovQ--
Permit Conditions: The applicant agrees to comply with all rules and regulations of the U, 'fied Sewerage Agency.
When calling for inspection, please refer to the Permit Number. The Application expires in rie 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. t9 the sewer is not located at
the measurement given, the installer shall prospect three feet in all directions from tho distance and depth given.
It not so located, the Installer shall purchase a 'Tap and Side Sewer' Permit at the current charge and the Agency
will Install a lateral at the location specified by the installer.
' FEES: _
P E R M I T FEE
CONNECTION CHARGE
LINE TAP INSTAI_LATiON
�....-
OTR -_ISSUED BY --
TOTAL s �
APPLICANT ��---
a,✓'" DATE
SEWER PERMIT
ADDRESS Of: STRUCTURE yl �aNA , q�iGo _
TAX MAP '" � /.� TAX LOT ,?700 _ SYSTEM P' In
LOT __-BLOCK OF
APP OVEQ BY DATE �j ISSUED BY I� .1 QATE
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