Permit CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit #: SWR2010 -00088
,T1GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/22/2010
Parcel: 2S111CB01734
Jurisdiction: Tigard
Site address: 10195 SW KABLE ST
Subdivision: HOOD VIEW NO. 2 Lot: 33
Project: McKee
Project Description: Connect existing house to sewer service. Reimbursement District #45 fee paid.
Owner: FEES
MCKEE, TERRY D PRISCILLA Description Date Amount
10195 SW KABLE ST. Sewer Connection Fee 06/22/2010 $3,600.00
TIGARD, OR 97223 Sewer Inspection - Residential 06/22/2010 $35.00
PHONE:
Contractor:
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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 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 que ns to C 6--0—Ca---1.( by calling 503.246.6699 or 1.800.332.2344. �,Q p -
Issued y: � Ij Perm ittee Signature: z' l / Jf/ nn •
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.