Permit CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit #: SWR2011 -00155
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/10/2012
Parcel: 2S103CB02100
Jurisdiction: Tigard
Site address: 12194 SW JAMES ST
Project: Wilson Partition, Lot 2 Subdivision: WILLAMETTE Lot: 8
Project Description: New SF.
Contractor: Owner: BIG MOOSE DEVELOPMENT INC
9450 SW JAMIESON RD
BEAVERTON, OR 97005
PHONE: PHONE: 503 - 522 -0426
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 01/10/2012 $4,500.00
Sewer Inspection - Residential 01/10/2012 $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 of started within 180 days of issuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow th= rul adopted by the Oregon Utility Notification
Center. Those. ules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You ma Ibty a copy of the rules or direct questions
to OUNC b ailing 503.2 1987 •r 1.800.332.2344.
Issued By: / A/ i i ' Permittee Signature:
7111 -
Call 503.639.4175 by 7:00 a.m. for the next available inspection d.
This permit card shall be kept in a conspicuous place on the job site until comp etion of the project.
Approved plans are required on the job site at the time of each inspection.