Permit CITY OF TIGARD SEWER CONNECTION PERMIT
i 8`' COMMUNITY DEVELOPMENT Permit#: SWR2017-00156
T t'GARD L 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/05/2017
Parcel: 2S111AA11000
Jurisdiction: Tigard
Site address: 8994 SW INEZ ST
Project: Greensward South,Lot 4 Subdivision: GREENSWARD SOUTH
Project Description: Sewer connection for new SF Lot: 4
Contractor:
Owner: H&H HOMES LLC
19305 SUNCREST DR
WEST LINN, OR 97068
PHONE: PHONE: 503-784-9198
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee
06/05/2017 $5,300.00
Type of Use: SF Sewer Inspection-Residential 06/05/2017 $35.00
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $5,335.00
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Sp .Ity Code-/and all other applicable
law. All work will be done in accordance with approved plans. This permit will expire if work is not sta -. within 1:0 days of issuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules ado, -d by a/Oregon Utility Notification
Center. Th.-- . - are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a//copy o' the rules or direct questions
to OUNC calling 503.=32.1987 or 1.800.332.2344.
Issu By: / `+ Permittee Signature: t/- Akira Ailkow
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. r I
IF
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.