Permit (33) CITY OF TIGARD SEWER CONNECTION PERMIT
f Permit#: SWR2019-00018
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Date Issued: 02/04/2019
TtARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S103CB04100
Jurisdiction: Tigard
Site address: 12290 SW MARION ST
Project: BERINGER Subdivision: WILLAMETTE NO.2 Lot: 20
Project Description: Sewer connection for an existing house on septic.
Contractor: Owner: BERINGER, BRIAN J&ANN L
12290 SW MARION ST
- TIGARD, OR 97223
PHONE PHONE:
FAX:
FEES
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Description Date Amount
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Specifics: Sewer Connection Fee 02/04/2019 $5,650.00
Sewer Inspection-Residential 02/04/2019 $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 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 obtaicopy of therulesor dir, questions
to OUNC by calling 503.232.1987 or 1.800 44.
Issued By: .e:;z0a=2 _,,e„, -Permittee Signature: lll///fff
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639.4175 by 7:00 a.m.for the next available inspectio ate.
This permit card shall be kept in a conspicuous place on the job site u ' ompletion of the project.
Approved plans are required on the job site at the time of each inspection.