Permit -
A CITY OF TIGARD
/0.8,, ,,,,, DEVELOPMENT SEWER CONNECTION
�� �~m� ��" "�u u SERVICES PERMIT
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Tigard, ` ` PERMIT #.......: SWR98-0114
' DATE ISSUED: 06/10/98
PARCEL: 25101BC-02201
SITE ADDRESS...:08300 SW HUNZIKER ST
SUBDIVISION....: ZONING: I—P
BLOCK.......... LOT.............: JURISDICTION: TIG
_____________ ___ ______________ _ _ ____
TENANT NAME.....:WESTERN PARTITIONS
USA NO.. .. ..... . : FIXTURE UNITS...: 27
CLASS OF WORK...:ALT DWELLING UNITS..: 2
TYPE OF USE.....:COM NO. OF BUILDINGS: 0
INSTALL TYPE....:BUSWR IMPERV SURFACE: 0 sf
Remarks: RE: PLM98-0144
Owner: — — ------ FEES ------ --
WESTERN PARTITIONS type amount by date recpt
8300 SW HUNZIKER PRMT $ 4400.00 B 06/10/98 98-306438
TIGARD OR 97223
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Phone #: .
Contractor: -------- — -------
OWNER
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______________ _____
Phone #: $ 4400.00 TOTAL
Reg #..:
------- REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations
of the Unified Sewage Agency. The permit expires 18W 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 measoremont _ ___ __
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 furth in DAR _______ _ ________
952-v�1-NN1N through OAR 952-m1-0080. You may obtain copies of ___ . ___
these rules or direct questions to OUNC by calling (5N3)246-�987 _ _ �� _
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e PlAjj1/461-4( �_. J� � �'' � I ssued by: Permittee Signature�4 � 4.~s ~� �_ � ��'� ____ _
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Call 639-4175 by 7:00 p.m. for an inspection needed the next business day
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Accumulative Sewer Tally
Tenant Name: zeIE /'/9 77 r oivS This SWR# 9P- 9 //V
Address: (P 3dC ,_ca) / /uA/Z /k -- . . This PLM# : 9f—D /y/
Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New
# Value Capped off value added # added #s total
Count off #s count value values
Baptistry /Font 4
Bath - Tub /Shower 4
- JacuzziNVhirlpool 4 .
Car Wash - Each Stall 6
- Drive Through 16
CuspidorNVater Aspirator 1
Dishwasher - Commercial 4
- Domestic 2
Drinking Fountain '1 / / /
ire Wash 1
Floor Drain/sink - 2 inch 2
- 3 inch 5
- 4 inch 6
- Car Wash Dm 6
Garbage Disposal 16
- Domestic (to 3/4 HP) ,
- Commercial (to 5 HP) 32
- Industrial (over 5 HP) 48 ,.—_—
ice Machine/Refri • erator Drains 1
Oil Sep (Gas Station) 6
Rec. Vehicle Dump Station 16
Shower - Gang (Per Head) 1
- Stall 2
Sink - Bar/Lavatory 2 i y 2
- Bradley 5
- Commercial 3
- Service
3
Swimming Pool Filter 1
Washer - Clothes 6 -
Water Extractor • 6
Water Closet - Toilet 6 Y .27/ .2L
Urinal 6 t to l to CD
TOTALS 3.2,
Total fixture values: • / divided by 16 = ,8- ? EDU =� y = _59
HISTORY /� _ e , va / .S/ / 9,p G ._ __ F�2 2, z-i--,s
PLM# EDU# a., SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
i:Ndstskswrtay.doc
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