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Permit CITY OF TIGARD SEWER CONNECTION PERMIT :.?• COMMUNITY DEVELOPMENT Permit 0 SWR2011 -00151 Date Issued 10/27/2011 TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 parcel 2S111 BC01200 • Jurisdiction Tigard Site address 10190 SW VIEW TER Project Williams Subdivision GREENBRIER Lot 6 Project Description Connect existing house to sewer service Contractor Owner WILLIAMS, GRANT & LANA 10190 SW VIEW TER TIGARD, OR 97224 PHONE PHONE 971- 404 -5385 FAX FEES Description Date Amount Specifics. Sewer Connection Fee 10/27/2011 $4,500 00 Sewer Inspection - Residential 10/27/2011 $35 00 Type of Use SF Reimbursement District Revenue 10/27/2011 $6,000 00 Class of Work ALT Install Type Line Tap and Building Sewer Fixture Units Number of Dwelling Units 1 Total $10,535 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 • •e done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is pended for - •re the 180 days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are s•t • in OAR 952- 001 -0010 through OAR 952 -001 -0090 You may •• . a copy of the rules or direct questions to OU C by calling 503 232 19• or 1 :r. 3 22344 Is ed ey / - Pernrrttee Signe' re ♦ "A'rei se at tiara 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