Permit (156) CITY OF TIGARD SEWER CONNECTION PERMIT
tII 11:. ' COMMUNITY DEVELOPMENT Permit#: SWR2018-00013
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/31/2018
EGA p°C 9 Parcel: 2S109AC06800
Jurisdiction: Tigard
Site address: 13237 SW MADDIE LN
Project: Madeline Heights,Lot 6 Subdivision: MADELINE HEIGHTS Lot: 6
Project Description: Sewer connection for new SF.
Contractor: Owner: LENNAR NORTHWEST INC
11807 NE 99TH ST STE 1170
VANCOUVER,WA 98682
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics:, Sewer Connection Fee 01/25/2018 $5,500.00
Sewer Inspection-Residential 01/25/2018 $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. tility Notification
Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the -. or 'irect questions
toOUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By p \\ Permittee Signature: A��
eri _
�•/�" Cal 50 .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 completio e project.
Approved plans are required on the job site at the time of each inspecti.I