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Permit L CITY OF TIGARD SEWER CONNECTION PERMIT ° COMMUNITY DEVELOPMENT Permit #: SWR2010 -00046 T IGAR6 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/07/2010 _ f Parcel: 2S109AB14500 Jurisdiction: Tigard Site address: 13372 SW OUZEL LN Subdivision: Lot: 0 Project: Alpine View Project Description: Sewer connection for new SF. FEES Owner: WEST HILLS DEVELOPMENT Description Date Amount 735 SW 158TH AVE Sewer Connection Fee 05/07/2010 $3,600.00 BEAVERTON, OR 97006 Sewer Inspection - Residential 05/07/2010 $35.00 PHONE: 503 - 641 -7342 Contractor: PHONE: FAX: Type of Use: SF Class of Work: NEW 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, o ' - • is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility N.. ification Cen - Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or dire' questions to OUN .y 503.246.6699 or 1.800.332.2344. Issue= By: i ` � , Permittee Signature: 76. j c11 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.