Permit (30) CITY OF TIGARD SEWER CONNECTION PERMIT
. ': COMMUNITY DEVELOPMENT Permit#: SWR2017-00162
TEGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/07/2017
Parcel: 2S111AA11100
Jurisdiction: Tigard
Site address: 9010 SW INEZ ST
Project: Greensward South,Lot 5 Subdivision: GREENSWARD SOUTH Lot: 5
Project Description: New SF
Contractor: Owner: GP4 LLC
PO BOX 1577
BEAVERTON, OR 97075
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 06/07/2017 $5,300.00
Type of Use: SF Sewer Inspection-Residential 06/07/2017 $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. Speci-It'Codes and other applicable
law. All work will be done in accordance with approved plans. This permit will expire if work is not startef, ithin 180 d of issuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adop -d by the •nze Utility Notification
Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a op, of the cal s or direct questions
to OUNC by ing i- 232.1987 or 1.800.332.2344.
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(V //t 4'Issue By; Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. I
This permit card shall be kept in a conspicuous place on the job site until completion of the prop ct
Approved plans are required on the job site at the time of each inspection.