Permit CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit #: SWR2011 -00040
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/08/2011
Parcel: 2S 101 DA00101
Jurisdiction: Tigard
Site address: 13190 SW 68TH PKWY 140
Project: CES NW Office Subdivision: TRIANGLE CORPORATE PARK Lot: 3
Project Description: .1 EDU increase.
Contractor: Owner: PACIFIC NW PROPERTIES LIMITED PA
STERN FAMILY LIMITED PARTNERSHIP &
STERN, HELEN R REV TRUST
6600 SW 105TH AVE #175
BEAVERTON, OR 97008
PHONE: PHONE: 503 - 626 -3500
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 03/08/2011 $410.00
Type of Use: COM
Class of Work: ALT
Install Type: Building Sewer
Fixture Units:
Number of Dwelling Units: .1
Total $410.00
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- 0010throu•h OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions
to OUNC by calling 503.232 1987 or 1.800.332.
Issued By: - - ' - - 'gnature: `'
C75 by 7:00 a.m. for the next available insp -ction dat..
This permit card shall be kept in a conspicuous place on the job site until . • mplet • n of the project.
Approved plans are required on the job site at the time of each ins • -ction.