Permit CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit #: SWR2011 -00001
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/15/2011
Parcel: 2S104AD06000
Jurisdiction: TIGARD
Site address: 12932 SW SEVILLA AVE
Project: Pahlisch Homes at Walnut Crossing lot 7 Subdivision: WALNUT CROSSING Lot: 7
Project Description: New SF
Contractor: Owner: PAHLISCH HOMES, INC.
63088 NE 18TH, SUITE 100
BEND, OR 97701
PHONE: PHONE: 541 - 385 -6762
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 03/15/2011 $4,100.00
Sewer Inspection - Residential 03/15/2011 $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 $4,135.00
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 suspend- • . more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification
Center. The e rules are et fo,h in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions
to OUNC • calling 503.232. ? - or .81
Issue By: Permittee Signature:
7 .‘ e x d
Call 503.639.4175 by 7:00 a.m. for the next available inspection 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.