Permit n CITY OF TIGARD SEWER CONNECTION PERMIT
3 1 g r!1• COMMUNITY
SW Hall DEVELOPMENT Permit #i SWR2009 -00107
C L
Date Issued: 10/08/2009
Ta1GARL� u Tigard OR 97223 503.639.4171
Parcel: 2S102DD00813
Jurisdiction: Tigard
Site address: 13935 SW 87TH CT
Subdivision: FILBERT PARK Lot: 6
Project: Curtis
Project Description: Connect existing SF to sewer.
FEES
Owner:
CURTIS FAMILY TRUST Description Date Amount
15285 SW ALDERBROOK CT Sewer Connection Fee 10/08/2009 $3,600.00
TIGARD, OR 97224 Sewer Inspection - Residential 10/08/2009 $35.00
PHONE:
Contractor:
SAMMY LEE MUNSEY PLUMBING
11771 LONGSTANDING CT
OREGON CITY, OR 97045
PHONE: 503 - 333 -5499
FAX: 503 - 723 -4753
Type of Use: SF
Class of Work: ALT
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $3,635.00
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 - 0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: ` u' ) 4 I ■ I ` PermitteeSignature: 41,0
s -
Call 503.639.4175 by 7:00 a.m.,for an inspection that business day.
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.