Permit NI CITY OF TIGARD SEWER CONNECTION PERMIT
° COMMUNITY DEVELOPMENT Permit #: SWR2012 -00086
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/14/2012
Parcel: 2S112BD07500
Jurisdiction: Tigard
Site address: 7894 SW HANSEN LN
Project: Brittany Meadows, Lot 11 Subdivision: BRITTANY MEADOWS Lot: 11
Project Description: Sewer connection for new SF
Contractor: Owner: HERONWOOD PROPERTIES
16615 MAPLE CIRCLE
LAKE OSWEGO, OR 97034
PHONE: PHONE: 503 - 781 -1981
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 06/14/2012 $4,500.00
Sewer Inspection - Residential 06/14/2012 $35.00
Type of Use: SF
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
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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. Specialty C.. and all other applicable
law. All work will be done in accordance with approved plans. This permit will expire if work is not started ' in 180 days of issuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopte- by e Oregon Utility Notification
Center. ose rules set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a opy .f t : rules or direct questions
to OUNC y callin 503.232. 987 .8 .332.2344. re
Issued ) PermitteeSignature: r i
Call 503.639.4175 by 7:00 a.m. for the next available inspection. • ate.
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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