Permit SEWER CONNECTION PERMIT
� x n CITY OF TIGARD
: r, COMMUNITY DEVELOPMENT Permit #: SWR2010 -00071
Date Issued: 05/14/2010
r [GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 1S136 DCO3500
Jurisdiction: Tigard
Site address: 11745 SW 70TH AVE
Subdivision: ELNOLA HEIGHTS Lot: 16
Project: Winkler
Project Description: Connect existing house to sewer service. Reimbursement District fee paid 5/14/10.
FEES
Owner:
WINKLER, ROBERT G Description Date Amount
LOUELLA D, 11745 SW 70TH Sewer Connection Fee 05/14/2010 $3,600.00
TIGARD, OR 97223 Sewer Inspection - Residential 05/14/2010 $35.00
PHONE: 503 - 639 -9376
Contractor:
PHONE:
FAX:
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 Notific- - - . hose rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct • estions to OUNC . calli • 503.246.6699 or 1.800.332.2344.
Iss ed By: I r Perm ittee Signature: lee r
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.