Permit CITY OF TIGARD SEWER CONNECTION PERMIT
ti 11111 2 , COMMUNITY DEVELOPMENT
Permit #: SWR2010 -00068
T I G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/30/2010
Parcel: 2S112BD08300
Jurisdiction: Tigard
Site address: 14794 SW 79TH AVE
Project: Brittany Meadows Subdivision: BRITTANY MEADOWS Lot: 19
Project Description: Sewer Connection for New SF
Contractor: Owner: MORRIS WESTLUND
16615 MAPLE CIRCLE
LAKE OSWEGO, OR 97034
PHONE:
PHONE: 503 - 781 -1981
FAX:
• FEES
Description Date Amount
Specifics: Sewer Connection Fee 12/30/2010 $3,600.00
Sewer Inspection - Residential 12/30/2010 $35.00
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. Speci- Code and all ther applicable
law. All work will be done in accordance with approved plans. This permit will expire if work is not start- • it in 1 :0 days of ssuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules ad• • - b t Oregon Ut ity Notification
Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You I- :.war - rules or ' questions
i
to OUNC by calling 503. .1987 or 1.800.332.23 1 =
,
Issued By: ' Permittee Signature:
Call 503. y 7:00 a.m. for the next available inspe - • n date.
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.