Permit (145) CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit#: SWR2018 00039
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/30/2018
Parcel: 25101 DC01800
Jurisdiction: Tigard
Site address: 7510 SW CHERRY DR
Project: Randall Subdivision: ROLLING HILLS NO.2 Lot: 38
Project Description: Connecting existing house to sewer. Reimbursement district#48.
Contractor: Owner: KARENNA RANDALL
7510 SW CHERRY DR
TIGARD, OR 97223
PHONE: PHONE: 503-679-7851
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee
01/30/2018 $5,500.00
Type of Use: SF Sewer Inspection-Residential 01/30/2018 $35.00
Class of Work: ALT Reimbursement District Fee 01/30/2018 $17,725.66
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $23,260.66
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 Oregon Utility Notification
Center. Those rules are et forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions
to OUNC by calling 503.23 . 987 or .800.33 . 344.
Issued By: y1 Permittee Signature:
XCall 503.639.4175 by 7:00 a.m.for the next available Inspection da e.
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.