Permit | '
CITY OF TIGARD SEWER CONNECTION
PERMIT
DEVELOPMENT �������������
~="���~=~~�n o�n~~.� o =ow~."�o~�~~~� PERMIT #... . . . . . : SWR96-0567
/D1258N/ Hall Bhvd..Tigard, OR 97223 (03)639-4171 DATE ISSUED: -12/30/96.
/2 55 5 // 4 � e t– PARCEL:' .2S103BD–H0006 ' ' ,
SITE ADDRESS. . .. :.�� � _- �." ' �=a - 1ST ` • , � . .
` SIDN. • GLEN,~ • ^`'�`, ^~�` `�r • o • .,Z]]NING: `R-4.5'•PD •
BLOCK— ..... ... : LOT— ...........:006
_
TENANT NAME— ...:LEGEND HOMES
USA NO........ • • FIXTURE UNITS...: 0
CLASS OF WORK. ..:NEW DWELLING UNITS..: 1
TYPE OF USE.....:COM ` ; ' . . .NO. OF BUILDINGS: 1
INSTALL TYPE BUSWR IMPERV SURFACE: 0 sf
Remarks pose ��set. .up a trailer, on/, emporarily„`unti
1
a. model home: is. construct ec[°' Th���� 'sewer, pe.r:mit . Kill /credited.' when the perman.�
ent
home is constructed (inspection. fee will. not be-credited). ,
Owner: – – FEES ----
LEGEND HOMES. / . . . ` . ' type amount . by date recpt
6900 SW HAINES STREET PRMT $ 2200.00 DRA 12/30/96 96-288281
, . � ' • •^ . INSp•$ � . 35.00 DRA,, 12/30/96 96-288281
TIGARD OR 97223
Phone, #: 620-8080
Contractor: '– �� ` `- ,..
CONTRACTOR' NOT ON FILE
Phone #: $ 2235.00 TOTAL
Reg #..:
• REQUIRED INSPECTIONS
This Applicant agrees to coeply with all the rules .and regulations`. Sewer Ins pect i on
of the Unified Sewage Agency. The. permit e•xp���1EWdays. from, , • ' � •
the date issued.: The total amoont.paid•ill be ,forfeited if . ' ` �. "
. :permit„expire* ' .d»ms oo:the'accuracy,of. the '
�:*idesower laterals. If the not .1ooated'ad the:moasurepent�,� ` ' '
given,. the installer , shall ,prnspect,3'ƒe.ot�in�aitdime0tioVs�frW '. ~•
the distance given. 'If ootlso the.im±all8r , shalt :pup�ase. • .
a " Tap 'and •S� and the - •
Permittee '" -at ur r --- •
•
'
Issued By: •
'
Call, for ins pact ion , 639r-4175,
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