Permit SC Nt K LUtVIVt .L, I l UIV
PERMIT
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CITYO FTIGARD DATE PERMIT I SSUED : 0g �;_y _0415
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 PARCEL: 2S 104BC -HW058
SITE ADDRESS...: 14296 SW LUKAR CT
SUBDIVISION....: H I LLSH I RE WOODS ZONING: R-7 PD .
BLOCK • LOT • 58
TENANT NAME.....:
USA NO • FIXTURE UNITS... : Ql
CLASS OF WORK...:NEW DWELLING UNITS..: 1
TYPE OF USE -SF NO. OF BUILDINGS: 1
INSTALL TYPE •BUSWR IMPEERV SURFACE: 0 sf
Remarks: Path I
Owner: ------ - - - - -- .- - - -- FEES - - - - -- --
WINDWOOD HOMES type amount by date recpt
14076 SW BENCHVIEW TERRACE PRINIT $ 2200.00 DRA 09/24/96 96- 284320
INSP $ 35.00 DRA 09/24/96 96- 284320
TIGARD OR 97224
Phone #: 5590 -4700
Contractor: - - -•- -- • - - --
CONTRACTOR NOT ON FILE
Phone #: $ 2235.00 TOTAL
Req it...
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection ______
of the Unified Sewage fluency. 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 0 ncy will install a lateral. _ _____.
Permitt -- Sig. ature: _ _ 0/ALU
�— �- ---_. _ -- -- -
Issued y. i 4'1 . � ._
____ -_ _
Call for inspection - 639 -4175
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