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Permit CITY T SEWER CONNECTION .461 / 4" 110 phf� ' ,� DEVELOPMENT � L SERVICES PERMIT #.. F'ERMTT° SWR97 -0430 DATE ISSUED: 01/05/98 PARCEL: 2S1O4DB -03200 SITE ADDRESS °.. :13000 SW ROCKINGHAM DR SUBDIVISION °AMESBURY HEIGHTS ZONING: R -4.5 BLOCK LOT °032 JURISDICTION° TIG TENANT NAME °DALTON CONSTRUCTION INC USA NO FIXTURE UNITS...: 0 CLASS OF WORK. .° :NEW DWELLING UNITS..: 1 TYPE OF USE °SF NO. OF BUILDINGS: 0 INSTALL TYPE °BUSWR IMP'ERV SURFACE: 0 sf Remarks: SF — Path 1 Owner: -- FEES DALTON CONSTRUCTION INC type amount by date recpt 8465 —A SW HEMLOCK ST PRMT $ 2200.00 GEO 01/05/98 98- 302272 TIGARD OR 97223 INSP $ 35.00 GEO 01/05/98 98- 302272 Phone #: Contractor: -• - -- OWNER Phone #: $ 2235.00 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 -001- You may obtain copies of these rules or direct questions to U '1. i. calling (503)246 -1987. Issued by I " « Permittee Signature _� , '� , ,d0L 4 i t +++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7 :00 p.m° for an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++