Permit (27) CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit#: SWR2019-00089
T I i_;A ix(--) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/17/2019
Parcel: 1S134BD07200
Jurisdiction: Tigard
Site address: 12044 SW SUMMERBROOK LN
Project: Summerbrook,Lot 14 Subdivision: SUMMERBROOK SUBDIVISION Lot: 14
Project Description: Sewer connection for new SF.
Contractor: Owner: WILLOW CREEK LAND LLC
PO BOX 1060
WOODBURN, OR 97071
PHONE: PHONE: 971-235-5003
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 04/11/2019 $5,650.00
Sewer Inspection-Residential 04/11/2019 $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 st. ed within 180 days of issuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules a.op .d 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 co,y •, the rules or direct questions
to OUNC by calling 503.23 987 or 1.800.332 344.
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Issued By: /y'erm� a Signature: I /Y
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Call 503.639.4175 by 7:00 a.m.for the next available inspection date
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.