Permit .
SEWER CONNECTION
PERMIT
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CITY OF TIGARD
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m � �� 0125 SN/ Hall Blmt Tigard, OR 97223 803U639-4/7/ PERMIT #. . . . . . . : SWR98-0129
DATE ISSUED: 06/17/98
PARCEL: 2S111DA-02400
SITE ADDRESS...:08574 SW LODI LN
SUBDIVISION....:APPLEWOOD PARK NO. 2 ZONING: R-7 PD
BLOCK.......... LOT.............:019 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: I
INSTALL TYPE. ...:LTPSWR IMPERV SURFACE: 0 sf
Remarks: New SFD
Owner: - -- --------------- FEES ----- ----
, LEGEND HOMES type amount by date recpt
6900 SW HAINES ST PRMT $ 2200.00 GEO 06/17/98 98-306596
TIGARD OR 97223 INSP $ 35.00 GEO 06/17/98 98-306596
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Phone #:
Contractor: -- • -
.
OWNER
•
____ _ _ __
Phone its $ 2235.00 TOTAL
Red. #..:
------- 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 giv»n, 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 952-0001-0080. You may obtain copies of ________ __ _ _
these rules or direct questions to OUNC by calling (583)246-1987. ______ ____ __ ___
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Issued by ��_ ' Permittee Signature: e ____ _ •
- � •
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Call 639-4175 by 7:00 p.m. for an inspection needed the next business day
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