Permit CITY OF TIGARD SEWER CONNECTION PERMIT
111
COMMUNITY DEVELOPMENT
Permit#: SWR2018-00242
T f V A I.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/27/2018
Parcel: 1S125DB03700
Jurisdiction: Tigard
Site address: 9494 SW 74TH AVE
Project: Gerrit partition,Lot 1 Subdivision: GERRITZ PARTITION Lot:
Project Description: Sewer connection for new SF.
Contractor: Owner: JOHN GERRITZ ENTERPRISES INC
BY GERRITZ,JOHN M
9500 SW 74TH AVE
PORTLAND, OR 97223
PHONE: PHONE: 503-320-7280
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 11/27/2018 $5,650.00
Sewer Inspection-Residential 11/27/2018 $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 $5,685.00
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 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 Oregon Utility Notification
Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions
to OUNC by calling 503.23 987 or 1.800I 32.2344.
Issued By: ��/- �,,�/ ,. Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection d e. >42
This permit card shall be kept in a conspicuous place on the job site until com tion of the project.
Approved plans are required on the job site at the time of each inspection.