Permit (122) CITY OF TIGARD SEWER CONNECTION PERMIT
11111 -
00312
01717-
a ' COMMUNITY DEVELOPMENT Permit#:Date Issued: SWR2SWR22
T[GAR 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S 11/21/2017 3200
Jurisdiction: Tigard
Site address: 11427 SW SUZANNE AVE
Project: Mission Meadows, Lot 4 Subdivision: MISSION MEADOWS Lot: 4
Project Description: Sewer connection for new SF.
Contractor: Owner: MISSION HOMES NORTHWEST LLC
PO BOX 1689
LAKE OSWEGO, OR 97035
PHONE:
PHONE: 503-591-5324
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 11/21/2017 $5,500.00
Sewer Inspection-Residential 11/21/2017 $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 b e Oregon Utility Notification
Center. Those rules are set forth in OAR 952-001-0o ; ... 952-001-0090. You may obtain a c of the rules or direct questions
to OUNC by calling 503.232.1987 or 1.800.33__
Issued By: s_ Permittee STgnatare: `r
Call 51 .63*:41111."-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 completion of the pro ect.
Approved plans are required on the job site at the time of each inspection.