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Permit l r CITY OF TIGARD SEWER CONNECTION PERMIT l I 13 COMMUNITY DEVELOPMENT Permit #: SWR2011 -00137 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/06/2011 TIGARD Parcel: 2S112BD08400 Jurisdiction: Tigard Site address: 14758 SW 79TH AVE Project: Brittany Meadows, Lot 20 Subdivision: BRITTANY MEADOWS Lot: 20 Project Description: Sewer connection for new SF Contractor: Owner: BARKHUFF, JORDAN LI, TIANCONG 13450 SW CRESMER DR TIGARD, OR 97223 PHONE: PHONE 503 - 841 -1323 FAX: 1 FEES Description Date Amount Specifics: Sewer Connection Fee 10/06/2011 $4,500 00 Sewer Inspection - Residential 10/06/2011 $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 Specialty Codes and all other applicable law All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. -. e r - are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rul-: or direct questions to OUN r by calling 503.2 1987 800.332 2344. Issue d By: , A._(_.1 Perm ittee Signature: // Call 503.639.4175 by 7:00 a.m. for the next available inspection v e. This permit card shall be kept in a conspicuous place on the job site until corn f etion of the project. Approved plans are required on the job site at the time of each inspection.