Permit CITY OF SEWER CONNECTION
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13125 SN/Hall Blv� Tigard, QR97223U0063g PERMIT # ^ SWR98
DATE ISSUED: 10/09/98
PARCEL: 1S126DC—LEH02
SITE ADDRESS ^09453 SW IVANA CT
SUBDIVISION....:LEHMANN SQUARE ZONING: R-12 PD
BLOCK..........
LOT. ...... ......:002 JURISDICTION: TIG
_
.TENANT NAME.....:ASIA PACIFIC 21, LLC
USA. NO..........: FIXTURE UNITS...: 0
CLASS OF WORK... :NEW DWELLING UNITS..: 1
TYPE OF USE ^SFA NO. OF BUILDINGS: 1
INSTALL TYPE ^BUSWR IMPERV SURFACE: 0 sf
Remarks: Sewer connection for a new attached single family dwelling.
Owner: --- — — FEES -----
ASIA PACIFIC 21, LLC type amount by date recpt
19305 ROBIN COURT PRMT $ 2300.00 B 10/09/98 98-309869
#55 INSP $ 35.00 B 10/09/98 98-309869
WEST LINN OR 97068
Phone #:
Contractor: ----
ASIA PACIFIC 21, LLC
19305 ROBIN COURT
#55
WEST LINN OR 97068 — --
Phone #: 669-0958 ,$ 2335.00 TOTAL
Reg #..: 001233
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 "Tao 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-��1-««10 through OAR 952-m1-0080. You may obtain copies of
these rules. or direct questions to OUNC by calling (503)246-1987.
Issued by g, Permit tee Signat ___
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Call L39-4175 by 7:00 p.m. for an inspection needed the next business day
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