Permit (35) CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit#: SWR2018-00081
Date Issued: 03/28/2018
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel 2S 28/201 3100
Jurisdiction:
Site address: 12115 SW 70TH AVE 102
Project: TVF&R Subdivision: 2012-009 PARTITION PLAT Lot: 3
Project Description: 1.63 EDU increase.
Contractor: Owner: TIGARD TRIANGLE PARTNERS LLC
18187 SIERA DR
LAKE OSWEGO, OR 97034
PHONE: PHONE:
FAX:
FEES
Description Date Amount
•
Specifics: Sewer Connection Fee 03/28/2018 $8,965.00
Type of Use: COM
Class of Work: ALT
Install Type:
Fixture Units:
Number of Dwelling Units: 1.63
Total $8,965.00
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 days of issuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adop-d by th: rego Utility Notification
Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a cop, .f les 'or direct questions
to OUNC by calling 503.232.1987 or 1.800.332.2344. `
Issued By: ...5) Permittee Signature: kii&I
..
CaIIJSD3. 39.4175 by 7:00 a.m.for the next available inspection date. Iv
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.