Permit _
���E� CONNECTIO�
PERMIT
CI1 � TIGARD PERMIT #...... : SWR96-0338
DATE ISSUED: 07/11/96
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 9722 3.8199 (5o3)m39-41r1 PARCEL: 2S1 1 1AA—GP058
SITE ADDRESS...: 14377 SW 88TH AVE
SUBDIVISION ^ GREENSWARD PARK NO. 2 ZONING: R-4.5
BLOCK ^ LOT......... .... :058 '�
•
TENANT NAME ^
USA NO ^ FIXTURE UNITS...: 0
CLASS OF WORK...:NEW DWELLING UNITS..: 1
TYPE OF USE.....:SF NO. OF BUILDINGS: 1
INSTALL TYPE....:BUSWR IMPERV SURFACE: 0 sf
Remarks: PATH I
Owner: — FEES
ROSEWOOD HOMES INC type amount by date recpt
7140 SW 209TH PRMT $ 2200.00 B 07/11/96 96-281524
INSP $ 35.00 B 07/11/96 96-281524
BEAVERTON OR 97007
Phone #: 642-4049
Contractor: `
CONTRACTOR NOT ON FILE
_____
Phone #: $ 2235.00 TOTAL
Reg #..:
REQUIRED INSPECTIONS
This Applicant agrees to comply with. all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The peroit expires 180 days froo ___ __ `
the date issued. The total amount paid will be forfeited if the ____
peroit expires. The Agency does not guarantee the accuracy of the
side sewer }otorals, If the sewer is not located at the uoamrooent ____
given, the installer shall prospect 3 feet in all directions froo `_
the distance given. If not so located, the inst- ler hall purchase
a "Tap and Side Sewer" Peroit and the A i
er Permittee Signature: �"—)^�_— / / —
��� _ _—_-
Issued By: / / ("~' _ _
Call for inspection — 639-4175
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