Permit CITY OF TI GAREP R I G I NA L SEWER CONNECTION PERMIT
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PERMIT #: SWR1999 -00189
DEVELOPMENT SERVICES DATE ISSUED: 09/21/1999
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS; 08875 SW PIPPEN LN PARCEL: 2S111DA -11700
SUBDIVISION: APPLEWOOD PARK NO. 3 • ZONING: R -7
BLOCK: LOT: 110 JURISDICTION: TIG
TENANT NAME: LEGEND HOMES
. USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
• Remarks: New SF - Path I
Owner: FEES
LEGEND HOMES
6900 SW HAINES ST Type By Date Amount Receipt
TIGARD, OR 97223 PRMT GEO 09/21/1995 $2,300.00 99- 318513 •
INSP GEO 09/21/1995 $35.00 99- 318513
Phone: Total $2,335.00
Contractor:
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Phone:
Reg #:
Required Inspections
Sewer Inspection
This Applicant agrees to comply with all the rules and regulations 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 are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
You may obtain copies of t.ese rul- or direct questions to OUNC by calling (503) 246 -1987.
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Issued by: /// i � Permittee Signature: _�, ,i
Call (503) 63 • -4175 by 7:00 P.M. for an inspection needed the next - i >>rs • .fr.
2/16/00 Activities for Case #: SWR1999 -00189
2:50:00 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
SWRA003 Application received 9/8/99 BON RECD No Hold BON 9/10/99
SWRA008 Permit Created 9/10/99 BON DONE No Hold BON 9/10/99
SWRA705 Sewer Inspection 9/29/99 MS PASS No Hold AKJ 9/29/99
SWRA032 DST Post - Review Completed 9/17/99 GEO DONE No Hold GEO 9/17/99
SWRA070 Ready to issue 9/17/99 GEO DONE No Hold GEO 9/17/99
SWRA080 (F) Issue permit 9/21/99 GEO DONE No Hold GEO 9/21/99
SWRA720 Case Fineled 9/29/99 AKJ DONE No Hold AKJ 9/29/99
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