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Permit CITY OF T SEWER CONNECT ^ Ii , � �fi ��� � DEVELOPMET SERVICES PERMIT # PERMIT SWR97 -0428 — 13125 SW Hall Blvd., Tigard, ( ) DATE ISSUED: 12/22/97 PARCEL: 25111DA —APW14 SITE ADDRESS...:O86O2 SW LODI LN SUBDIVISION ° APPLEWOOD PARK NO. 1 ZONING: R -7 PD BLOCK LOT °014 JURISDICTION: TIG TENANT NAME ° USA NO • FIXTURE UNITS...: 0 CLASS OF WORK...:NEW DWELLING UNITS..: 1 TYPE OF USE.....:SF NO. OF BUILDINGS: 1 INSTALL TYPE BUSWR IMPERV SURFACE: 0 sf Remarks: New SFD Owner : FEES - - -- LEGEND HOMES type amount by date recpt 6900 SW HAINES ST PRMT $ 2200.00 B 12/22/97 97- 301970 TIGARD OR 97223 INSP $ 35. B 12/22/97 97- 301970 Phone #: Contractor : - - -- OWNER Phone #: $ 2235.00 TOTAL Re #. REQUIRED INSPECTIONS This Applicant agrees to comply with all the rules and regulations Sewer Inspect 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- ' through OAR 952 - 0001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -1987. j Issued by Y1 Perm ittee Signature % 1 1 1 , o /, ,,G%- +++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ ++