Permit SEWER CONNECTION PERMIT
4 CITY OF TIGARD
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"P a C OMMUNITY DEVELOPMENT Permit #: SWR2010 00034
k7 t GARE5 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/16/2010
Parcel: 1S135CA09400
Jurisdiction: Tigard
Site address: 11464 SW 96TH AVE
Subdivision: SOLERA Lot: 3
Project: Solera
Project Description: Sewer connection for new SF. DEMO CREDIT applied from BUP2006 -00279
FEES
Owner:
GREENBURG TERRACE LLC Description Date Amount
735 SW 158TH AVE #180 Sewer Inspection - Residential 04/16/2010 $35.00
BEAVERTON, OR 97005
PHONE: 503 - 332 -7167
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 $35.00
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: Permittee Signature:
CaII 503.639.4175 by 7:00 a.m. for an inspection that busine da� y.
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.