Permit Ail, CITY OF TIGARD
SEWER CONNECTION
DEVELOPMENT SERVICES
,,,,,,b.„,.,,,, ~~� ~ ��~~^ ^~^�^~ ^ �~�^ ~~^�~�~° PERMIT
^9u� �--- 13125 SW Hall 8hui Tigard, OR 97223 (503 ) 639-4171 PERMIT #. . . . . . . : SWR98-0126
DATE ISSUED: 06/09/98
. PARCEL: 2S111DA-025069
SITE ADDRESS...:08590 SW LODI LN
SUBDIVISION....:APPLEWOOD PARK NO. 2 ZONING: R-7 PD
BLOCK.......... LOT.............:020 JURISDICTION: TIG
_ _ _
TENANT NAME -LEGEND HOMES •
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: Sewer connection for a new single family dwelling.
Owner: —. ------------------------------ FEES
LEGEND HOMES type amount by date recpt
6900 SW HAINES STREET PRMT $ 2200.00 B 06/09/98 98-306391
PLAZA 2, SUITE 200 INSP $ 35.00 B 06/09/98 98-306391
TIGARD OR 97223
Phone #:
Contractor: ---
LEGEND HOMES (SEE 60563)
PLAZA II, SUITE #200 •
6900 SW HAINES STREET
TIGARD OR 97223 ----- -----
Phone #: 620-8080
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$ 2235.00 TOTAL
Reg #..: 000006
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 roles adopted by the ___ __
Oregon Utility Notification Center. Those rules are set forth in OAR ___ __
952-001-10 through OAR 952-0001-0000. You may obtain copies of ____ __
these rules or direct questions to OUNC by calling (508)246-1987. _____
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Issued by: P ermittee Si�gnature ~'
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Call 639-4175 by 7:00 p.m. for an inspection needed the next business day
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