Permit CITY OF TIGARD
DEVELOPMENT SERVICES SEWER CONNECTION
�"NI�IG�'llI
PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171
PERMIT # SW R98 -0 105
DATE ISSUED: 05/13/98
PARCEL: 25111DA -02900
SITE ADDRESS...:O858O SW BRAEBURN LN
SUBDIVISION °APPLEWOOD PARK NO. 2 ZONING: R -7 PD
BLOCK LOT °024 JURISDICTION: TIG
TENANT NAME °LEGEND HOMES
USA NO FIXTURE UNITS...: 0
CLASS OF WORK °..:NEW DWELLING UNITS..: 1
TYPE OF USE -SF NO. OF BUILDINGS: 1
INSTALL TYPE °BUSWR IMPERV SURFACE: 0 sf
Remarks: Sewer connection for a new single family dwelling.
Owner: FEES
LEGEND HOMES type amount by date recpt
6900 SW HAINES ST PRMT $ 2200.00 DLH 05/13/98 98- 305729
PLAZA 2, SUITE 200 INSP $ 35.00 DLH 05/13/98 98- 305729
TIGARD OR 97223
Phone #:
Contractor:
LEGEND HOMES CORP /MATRIX DEV.
PLAZA II, SUITE #200
6900 SW HAINES STREET
TIGARD OR 97223 •
Phone #: 620-8080 $ 2235.00 TOTAL
Reg #..: 000005
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 188 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 1-0080. You say obtain copies of
these rules or direct questions to OUNC by calling (503)246 -1987.
Issued by• Permittee Signature .. j
T �
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Call 639-4175 by 7:00 p.m. for an inspection needed the next business day
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