Permit ` CITY O
....„ DEVELOPMENT SERVICES SEWER CONNECTION
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PERMIT
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--'"-- ` — PERMIT #.......: SWR98-0286
DATE ISSUED: 01/21/99
PARCEL: 1S125CD-08100
SITE ADDRESS...:09839 SW LANDAU PL
SUBDIVISION....:TIGARD WOODS ZONING: R-4.5
BLOCK.......... LOT........,....:007 JURISDICTION: TIG
__ ______________________________ _ _____ _____
TENANT NAME.....:BEACON HOMES INC
USA NO. . . . . ,. . . . : • FIXTURE UNITS...: 0
CLASS OF WORK...:NEW ' DWELLING UNITS..: 1
TYPE OF USE.....:SF NO' OF BUILDINGS: 1
INSTALL TYPE....:LTPSWR IMPERV SURFACE: 0 sf
Remarks: Sewer connection for a new single family dwelling.
Owner: — — — FEES — --
BEACON HOMES INC type amount by date recpt
9500 SW 125TH AVE PRMT $ 2300.00 JSD 01/21/99 99-312349
BEAVERTON OR 97008 INSP $ 35.00 JSD 01/21/99 99-312349
Phone #: •
Contractor: --- ---------------- '
OWNER
_ ______ _ _ _
Phone #: $ 2335.00 TOTAL
Reg #..:
' ------- REQUIRED INSPECTIONS — —
This Applicant agrees to cooply 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 tho accoracy of the _______ ____ _____
side sewer laterals. If the 'sewer is not located at the oeasuroment _ ____ _ _
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 ____ _______
952-001-0010 through OAR 952-0001-0HO. You may obtain copies of _______ ___ ______ __
these roles or direct questions 'OUNC by 1987. __ .____ __ __ _____ _
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Issued by: ___ _____. Permittee Signature: �� -�'�C ________
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Call 639-4175 by 7:00 p.m. for an inspection needed the next business day
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