Permit (189) CITY OF TIGARDIII
SEWER CONNECTION PERMIT
■' COMMUNITY DEVELOPMENT Permit#: SWR2018-00193
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/14/2018
T f ;�I<'.f� g Parcel: 2S109AB01400
Jurisdiction: Tigard
Site address: 13285 SW BULL MOUNTAIN RD
Project: SHELBY Subdivision: None Lot: None
Project Description: Sanitary sewer to connect existing residence to public sewer. Septic system must be pumped and filled,or
removed.
Contractor: Owner: SHELBY, MATTHEW&TABITHA
13285 SW BULL MOUNTAIN RD
PORTLAND, OR 97224
PHONE: PHONE: 503-310-8033
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 08/14/2018 $5,650.00
Sewer Inspection-Residential 08/14/2018 $35.00
Type of Use: SF
Class of Work: ALT
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $5,685.00
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 .' .ble
law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of i uance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules ado, + by t•- -:on ility Notification
Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain ., of the +les • direct questions
to OUNC by calling 503.232.1 7 o 1.800.33 .2344. 1/
/
Issued By: �/ � �/� Perm Lure: 111111111%
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. OF .
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This permit card shall be kept in a conspicuous place on the job site until completion of the a roject.
Approved plans are required on the job site at the time of each inspection.