Permit CITY OF TIGARD SEWER CONNECTION PERMIT
! ' COMMUNITY DEVELOPMENT Permit#: SWR2017-00344
Tigard OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 11/07/2017
T 4(-,A f&L3 9
Parcel: 2S109AC06300
Jurisdiction: Tigard
Site address: 13319 SW MADDIE LN
Project: Madeline Heights, Lot 1 Subdivision: MADELINE HEIGHTS Lot: 1
Project Description: Sewer connection for new SF.
Contractor: Owner: LENNAR NW INC
11807 NE 99TH ST#1170
VANCOUVER,WA 98682
PHONE: PHONE: 360-258-7900
FAX:
FEES
Description Date Amount
.
Specifics: Sewer Connection Fee 11/06/2017 $5,500.00
Sewer Inspection-Residential 11/06/2017 $35.00
Type of Use: SF
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $5,535.00
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable
law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Orego• Notification
Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a co. of the r - • lirect questions
to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: <7f Permittee Signature: milmillif�i.
f Call 503.639.4175 by 7:00 a.m.for the next available inspection date
This permit card shall be kept in a conspicuous place on the job site until complet.n of the pr.ject.
Approved plans are required on the job site at the time of each inspec 'on.