Permit (34)IIIIIIIIIIII►
CITY OF TIGARD SEWER CONNECTION PERMIT
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- COMMUNITY DEVELOPMENT Permit#: SWR2019-00123
Date Issued: 07/16/2019
T ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S 16/201 0600
Jurisdiction: Tigard
Site address: 14090 SW WALNUT LN
Project: Fern Ridge, Lot 3 Subdivision: FERN STREET SUBDIVISION Lot: 3
Project Description: Sewer connection for new SF.
Contractor: Owner: K5 URBAN PROPERTIES & MANAGEMENT
PO BOX 25571
PORTLAND, OR 97239
PHONE: PHONE: 503-292-9344
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 07/16/2019 $5,650.00
Sewer Inspection-Residential 07/16/2019 $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
Req ired Items and Reports(Conditions)
A
This permit is issued subject to the regulations contained in the Tigard Municip Code, State of OR. Specialty Codes and all other applicable
law. All work will be done in accordance with approved plans. This permit wil expire if work is not started within 180 d s of issuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules ad/opted by the Or-gon Utility Notification
Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain : copy of the , les or direct questions
to OUNC by calling 503.232.1987 or 1.800.332.2344. ,
Issued By: Permittee Signature:
Call 5 . .4175 by 7:00 a.m.for the next available inspection d•te.
This permit card shall be kept in a conspicuous place on the job site until corn• etion of the project.
Approved plans are required on the job site at the time of each in-pection.