Permit (211) CITY OF TIGARD SEWER CONNECTION PERMIT
.�' Permit#: SWR2018-00183
COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/16/2019
TIGARD Parcel: 2S104AC16000
Jurisdiction: Tigard
Site address: 12821 SW 132ND AVE
Project: Csokas Partition,Lot 2 Subdivision: 2018-026 PARTITION PLAT Lot: 2
Project Description: Sewer connection for new SF.
Contractor: Owner: HT REMODELING &DESIGN LLC
21271 ROCK RD
ALOHA, OR 97003
PHONE:
PHONE: 503-882-8247
FAX:
FEES
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Description Date Amount
Specifics: Sewer Connection 05/16/2019 $5,650.00
Sewer Inspection 05/16/2019 $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 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 t e Oregon Utility Notification
Center. Those rules are set forth in OAR 952-001-0010 t • s• *AR 952-001-0090. You may obtain a o.y of e rules or direct questions
to OUNC by calling 503.232.1987 or 1.800.33 4
'11i
Issued By: 4011111111111111 Permittee Signature:
Call 50 '..175 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 • oject.
Approved plans are required on the job site at the time of each inspection.