Permit IN CITY OF TIGARD SEWER CONNECTION PERMIT
Ilk , COMMUNITY DEVELOPMENT Permit #: SWR2011 -00036
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/15/2011
Parcel: 2S110CB10200
Jurisdiction: TIGARD
Site address: 15408 SW ARLINGTON TER
Project: Arlington Heights No. 3, Lot 90 Subdivision: ARLINGTON HEIGHTS NO. 3 Lot: 90
Project Description: Sewer connection for new SF.
Contractor: Owner: TIMBERLAND HOMES INC
12670 SW 68TH AVE #300
TIGARD, OR 97223
PHONE: PHONE: 503 - 620 -8860
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 any all other applicable
law. All work will be done in accordance with approved plans. This permit will expire if work is of •tarted within 1:: days of issuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the ru • • • opted by the Oregor Utility Notification
Center. T are set forth in OAR 952 - 001 -0010 through OAR 952-001-0090. You may c• a of t rule or direct questions
to OUNC y calling 503.23i. 00.332.2344.
/, t
Issue y:� Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available inspection d . lib
This permit card shall be kept in a conspicuous place on the job site until completion o the project.
Approved plans are required on the job site at the time of each inspection.