Permit •
II „ CITY OF TIGARD SEWER CONNECTION PERMIT
. 2 . -• COMMUNITY DEVELOPMENT Permit #: SWR2012 -00068
Date Issued: 05/21/2012
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S112BD07100
Jurisdiction: Tigard
Site address: 14733 SW 79TH AVE
Project: Brittany Meadows, Lot 7 Subdivision: BRITTANY MEADOWS Lot: 7
Project Description: Sewer connection for new SF
Contractor: Owner: BRITTANY MEADOWS LLC
BY WESTLUND, MORRIS R
16615 MAPLE CIR
LAKE OSWEGO, OR 97034
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 05/16/2012 $4,500.00
Sewer Inspection - Residential 05/16/2012 $35.00
Type of Use: SF
Class of Work: ALT
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units:
Total $4,535.00
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Spe ■ Codes and all other applicable
law. All work will be done in accordance with approved plans. This permit will expire if work is not sta ' ed ithin 180 days of issuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules a• •pted .y the Or- .on Utility Notification
Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0090. You may obtain a cop of the le or direct questions
to OUNC by calling 503.232.1 or 1.800.332.2344.
Issued By: i Permlttee Signature: _ - Ire,” -
Call 503.639.4175 by 7:00 a.m. for the next available inspection. -te.
This permit card shall be kept in a conspicuous place on the Job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
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