SWR1988-0895 SEWER CITY OF TIRD rr* PERMIT NO.: SEEIE30E393
CRY OF WARD 4
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 6 / 16 / N8
13125 S.W. Hall Blvd., P.O. Box 23397, Tigard, Oregon 97223, (503) 639 -4175 pp IM . PMT . NO . 880892
JOB ADDRESS: 16200 SW PACIFIC HWY S.J -1 USA NUMBER: 35172
TAX MAP /LOT SUB: TIGARD TOWN SQUARE SUITE J1 LT: BK:
LAND USE:
LOT SIZE:
SECTION: TWP: RNG:
WORK CLASS: NEW
USE TYPE: COMMERCIAL
The applicant agrees to comply with all rules and regulations of the Unified
Sewerage Agency. The permit expires 120 days from the date issued. The total
amount paid will be forfeited if the permit expires. The Agency does not guar -
antee the accuracy of the location of the side sewer laterals. If the sewer is
not located at the measurement given, the installer shall prospect 3 feet in
all directions from the distance given. If not so located, the installer shall
purchase a "Tap and Side Sewer" Permit and the Agency will install a lateral.
INSTALL. TYPE: BUILDING SEWER IMPERVIOUS AREA:
4 UNITS: 13 TENANT IMPROVEMENT: NO
DWELLING UNITS: 1
NO. OF BLDGS.: 1
FEES:
O Washington Federal Svngs Bank PERMIT $
N CONNECTION CHARGE $1,100.00
LINE TAP INSTALL.
OTHER
C
0
WESTWOOD CORPORATION -
R 3030 SW MOODY
A • portland or.97201
T PHONE (503) 222 -2000
O
R REGISTRATION NO. 3339 TOTAL: $1,145.00
RECEIPT NO.
This permit is issued subject to the regulations contained in Title 14 __ ----- ��
of the TMC, State of Oregon Specialty Codes, zoning regulations REQUIRED INSPECTIONS
and all other applicable codes and ordinances, and it is hereby
SEWER
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and FINAL
ordinances. The issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and
void if work is not started within 180 days, or if work is suspended or
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all required inspections are requested and approved.
P- le Signature ��\
�_ ,
I , ed ey: CALL FOR l:Mf -k:CT I ON 639 4175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE