Permit CITY OF TIGARD •
SEWER CONNECTION
% � r DEVELOPMENT SERVICES PERMIT #PERM I T e SW RSa -m i s4
DATE ISSUED: 10/09/98
PARCEL: 1 S 126DC -LEH03
SITE ADDRESS...:09467 SW IVANA CT
SUBDIVISION °LEHMANN SQUARE ZONING: R -12 PD
..... LOT °003 JURISDICTION: TIG
TENANT NAME °WINDWOOD HOMES INC
USA NO..........: FIXTURE UNITS...: 0
CLASS OF WORK... :NEW DWELLING UNITS..: 1
TYPE OF USE °SFA NO. OF BUILDINGS: 1
INSTALL TYPE °LTPSWR IMPERV SURFACE: 0 sf
Remarks: Sewer connection for a new single family attached dwelling.
Owner: -. FEES
WINDWOOD HOMES type amount by date recpt
12655 SW NORTH DAKOTA PRMT $ 2300.00 DLH 10/09/98 98- 309872
TIGARD OR 97223 INSP $ 35.00 DLH 10/09/98 98- 309872
Phone #:
Contractor: •
•
OWNER
Phone # : $ 233 5.00 TOTAL_
Reg #..
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 180 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 measurement
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 forth in OAR
952 -001 -001@ through OAR 952- •q-0080. You may.obtain copies of
these rules or direct questions to OUNC by calling (5@3)246 -1987.
Issued by: / bA1/ Permittee Signature°
+ ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+ ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + ++ + + + + + + + + + + + + + + + + + + ++