Permit •
• CITY OF TIGARD • SEWER CONNECTION PERMIT
� DEVELOPMENT SERVICE.,/,6 PERMIT #: SWR2000 -00065
`f I I 13125 SW Hall Blvd., Tigard, OR 97223 (503 )W1 / DATE ISSUED: 4/17/00
1 154 SW 84TH AVE PARCEL: 2S112CB -HCO25
SITE ADDRESS;
5
SUBDIVISION: HAMPTON COURT ' // ZONING: R -7
BLOCK: LOT: 025 / JURISDICTION: TIG
TENANT NAME: LEGEND HOMES •
USA NO: • FIXTURE UNITS: .
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR . - IMPERV SURFACE:
Remarks: Sewer connection •
• Owner: FEES
• LEGEND HOMES Type By Date Amount Receipt
6900 SW HAINES
TIGARD, OR 97223 PRMT DEB 4/17/00 $2,300.00 0001469
INSP DEB 4/17/00 $35.00 0001469
Phone: Total $2,335.00
Contractor:
•
• Phone:
Reg #: ,
•
Required Inspections
Sewer Inspection
•
•
•
This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires .
180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not
guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer
shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and
Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted
by th rego lity Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
- You may obtain coi-s of the:: rules or direct questions to OUNC by calling (503).246 -1987.
7
■
Issue b e ' • , ' Permittee Signatur :
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed 17 day