Permit CITY OF TIGARD
DEVELOPMENT SERVICES SEWER CONNECTION
i��a�ry �� I PE RM I T
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT # ° SW R98 -0175
DATE ISSUED: 07/31/98
PARCEL: 2S111DA -04500
SITE ADDRESS... :08752 SW LODI LN
SUBDIVISION °APPLEWOOD PART. NO. 2 ZONING: R -7 PD
BLOCF'........... LOT °040 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.... :LTPSWR IMPERV SURFACE: 0 sf
Remarks: Sewer connection for new single family dwelling.
Owner: - FEES
LEGEND HOMES type amount by date recpt
6900 SW HAINES ST PRMT $ 2300.00 JSD 07/31/98 98- 307875
TIGARD OR 97223 INSP $ 35.00 JSD 07/31/98 98- 307875
Phone #:
Contractor:
LEGEND HOMES CORP
•
6900 SW HAINES ST #200
TIGARD OR 97223
Phone #: 620 -8080 $ 2335.00 TOTAL
Reg #..: 000605
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 rules adopted by the
Oregon Utility Notification Center. Those rules set forth in OAR
952 -,'■1 -0010 through OAR 952- m1 -0080. You ay obtain copies of
these rules or direct questions to OUNC by c ling (503)246 -1987.
Issued by: !� _ Permittee Signature: 41 j �, -�
411, if
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Call 639 -4175 by 7 :00 p.m. for an inspection needed the next business day
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