Permit 114 CITY OF TIGARD SEWER CONNECTION PERMIT
" COMMUNITY DEVELOPMENT Permit#: SWR2017-00187
TrARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/06/2017
Parcel: 2 S 111 AA 12000
Site address: 8933 SW INEZ ST Jurisdiction: Tigard
Project: Greensward South, Lot 14 Subdivision: GREENSWARD SOUTH
Project Description: Sewer connection for new SF Lot: 14
Contractor:
Owner: GP4 LLC
PO BOX 1577
BEAVERTON, OR 97075
PHONE: PHONE:
FAX:
FEES
Description Date
Specifics: Amount
Sewer Connection Fee 07/06/2017 $5,300.00
Type of Use: SF Sewer Inspection-Residential 07/06/2017 $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)
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This / I
permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Speci:lt Codes 0 all other applicable
law. All work will be done in accordance with approved plans. This permit will expire if work is not start:. ithin V, •ays of issuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules ado"ted •y the a -gon Utility Notification
Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain . cop of t - r les or direct questions
to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: �
✓f �� Permittee Signature: ,�
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Call 505 E3Y.4175 by 7:00 a.m.for the next available inspection date. 'J
This permit card shall be kept in a conspicuous place on the job site until completion of the pro -ct.
Approved plans are required on the job site at the time of each inspection.