Permit CI TY OF TIGARD SEWER CONNECTION PERMIT
1 DEVELOPMENT SERVICES PERMIT #: SWR2006 -10018
�'" .,�� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 3/28/2006
PARCEL: 2S101 AB -02100
SITE ADDRESS: 07157 SW BEVELAND RD ZONING: MUE
SUBDIVISION: BEVELAND LOT: 003 JURISDICTION: TIG
Project Description: 1.3 EDU increase.
TENANT NAME: UNITED PACIFIC FOREST PRODUCTS
CWS NO: FIXTURE UNITS:
CLASS OF WORK: ALT DWELLING UNITS: 1.3
TYPE OF USE: COM NO. OF BUILDINGS:
INSTALL TYPE: BUSWR IMPERV SURFACE:
Owner: FEES
UNITED PACIFIC PROPERTIES LLC
PO BOX 600 Description Date Amount
ST HELENS, OR 97051
[SWUSA] Sewer Connection Fee 4/6/2006 $3,380.00
Phone: 503 - 397 - 4469 Total $3,380.00
Contractor:
Contact #: REQUIRED ITEMS AND REPORTS
Reg #:
This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180
days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee
the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect
3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer"
Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You
may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued • : ' / ,��_ Permittee Signatu - : �� _ ,� I /.��/!�
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Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
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.