Permit ,, CITY OF TIGARD SEWER CONNECTION PERMIT
• - '` COMMUNITY DEVELOPMENT Permit #: SWR2011 -00102
T1 ARI) 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/20/2011
Parcel: 2S112BD09200
Jurisdiction: Tigard
Site address: 14726 SW 78TH AVE
Project: Brittany Meadows Subdivision: Lot:
Project Description: Sewer connection for new SF
Contractor: Owner: HERONWOOD PROPERTIES
BY MORRIS R WESTLUND
16615 MAPLE CIR
LAKE OSWEGO, OR 97034
PHONE: PHONE:
FAX:
FEES
J 1 Description Date Amount
Specifics: Sewer Connection Fee 07/20/2011 $4,500.00
Sewer Inspection - Residential 07/20/2011 $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 $4,535.00
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. S. -ci. Co. -s and :II other applicable
law. All work will be done in accordance with approved plans. This permit will expire if work is not s .rto. within 180 days of issuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules .d..ted by the Orego Utility Notification
Center. T . - are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obt.i a .'. ,f the rules or direct questions
to OUNC ' calling 503. 2.1987 1 4. ,
Issued = : ( � %Y� tI-II Permittee Signature: ,`�
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.