Permit 4� CITY OF TIGARD SEWER CONNECTION PERMIT
> ":<- COMMUNITY DEVELOPMENT ' Permit #: SWR2011 00050
TIGARD 13125 SW Hall Blvd. Tigard OR 97223 503.718.2439 Date Issued: 11/29/2011
, Parcel: 1 S135CA09200
Jurisdiction: Tigard
Site address: 11488 SW 96TH AVE
Project: Solera, Lot 1 Subdivision: SOLERA Lot: 1
Project Description: Sewer connection for new SF
Contractor: Owner: SOLERA LLC
9200 SW NIMBUS AVE
BEAVERTON, OR 97008
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 11/29/2011 $4,100.00
Sewer Inspection - Residential 11/29/2011 $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 $4,135.00 I
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 e •regon Utility Notification
Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtai r : copy rf - rules or direct que i
to OUNC by calling 50 .2.1987 or 1.800.332.2344.
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Issued By: �_' Permittee Signature: /
Ca 4111 75 by 7:00 a.m. for the next available inspectio 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.