Permit CITY OFTIGARD
SEWER CONNECTION
��� DEVELOPMENT SERVICES PERMIT
+L ° 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT # • SWR98 -0237
DATE ISSUED: 04/01/99
PARCEL: 29104DD -07100
SITE ADDRESS...:12790 SW RIDGEFIELD LN
SUBDIVISION •MOUNTAIN HIGHLANDS NO.3 ZONING: R -4.5
BLOCK LOT -029 JURISDICTION: TIG
TENANT NAME -JOHN MURPHY
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 conneciton for a new single family.
Owner: FEES
JOHN MURPHY type amount by date recpt
10175 SW 155TH PRMT $ 2300.00 GEO 04/01/99 99- 314173
BEAVERTON OR 97007 INSP s 35.00 GEO 04/01/99 99- 314173
Phone #: 554 -5832
Contractor:
OWNER
Phone #: $ 2335.00 TOTAL
Reg #.. .
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 are set forth in OAR
952 -001 -0010 through OAR 952-m1-0080. You may obtain copies of
these rules or direct questions to OUNC by calling (503)246 -1987.
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Issued by• _ / Permittee Signatur- --va!k 4._
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Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
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