Permit (211) INCITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit#: SWR2018 00054
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/12/2018
Parcel: 2S 109AC07200
Jurisdiction: Tigard
Site address: 13204 SW MADDIE LN
Project: Madeline Heights,Lot 10 Subdivision: MADELINE HEIGHTS Lot: 10
Project Description: Sewer connection for new SF.
Contractor: Owner: LENNAR NORTHWEST INC
11807 NE 99TH ST STE 1170
VANCOUVER,WA 98682
PHONE: PHONE: 360-258-7900
FAX:
FEES
Description Date Amount
•
Specifics: Sewer Connection Fee 03/12/2018
$5,500.00
Type of Use: SF Sewer Inspection-Residential 03/12/2018 $35.00
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 1:., •.ys of issuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by e Oreg. Utility Notification
Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy .1 'e rules .r direct questions
to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ') 1 /�
�� .....s.--...r Permittee Signature: �` ,
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Cal •.3.•39.4175 by 7:00 a.m.for the next available inspection •:te.
This permit card shall be kept in a conspicuous place on the job site until com•,etion of the •roject.
Approved plans are required on the job site at the time of each insp-.