Permit |
' ^ SEWER CONNECTION
PERMIT
Cii OF TIGARD PERMIT # ^ SWR94-0154
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 05/02/94
13125 SW Hall Blvd. Tigard, Oregon 97223°8199 (503) 639-4171
PARCEL: 2S114BC-03000
SITE ADDRESS...: 16657 SW RIVERWOOD PL
SUBDIVISION ^ RIVERVIEW ESTATES NO 2 ZONING: R-7 PD
BLOCK..........: LOT.............:067
_ _ _ ____
, TENANT NAME
.....:
USA NO. ........ . : FIXTURE UNITS...:
CLASS OF WORK...:NEW DWELLING UNITS..:1
TYPE OF USE -SF NO. OF BUILDINGS:1
INSTALL TYPE....:BUSWR IMPERV SURFACE..: :sf
Remarks: PATH I
Owner: — FEES
LHL CONSTRUCTION INC type amount by date recpt
7110 SW FIR LOOP PRMT $ 2200.00 JG 05/02/94 —
SUITE 160 INSP $ 35.00 JG 05/02/94 —
TIGARD OR 97223
Phone #: 624-7714
Contractor: — —
CONTRACTOR NOT ON FILE
_
Phone #: $ 2235.1210 TOTAL
Reg #..: •
— REQUIRED INSPECTIONS
This Ipplicant agrees to coep 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
yiveo, the installer shall prospect 3 feet in all directions from
the distance givon, If not so located, the installer shall purchase _
a "Tap and Side Sewer" Permit and the w:ll ' stall a lateral.
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Permittee Signature: A/ . .~4._
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Issued By: ^���� •
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- Call for inspection — 639-4175
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5/23/00 Activities for Case #: SWR94 -00154
2:03:49 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
SWRA007 Application received BLT 4/21/94
SWRA010 Plan check by 4/21/94 BLT 4/21/94
SWRA020 Check for prcl. restrict. 4/21/94 • 4/21/94 JLH PASS BLT 4/21/94
SWRA705 Sewer Inspection 5/16/94 TLP PASS TLP 5/17/94
SWRA080 (F) Issue permit • 5/2/94 JLG PASS - JG 5/2/94
SWRA720 Case Finaled 5/16/94 • TLP PASS TLP 5/31/94
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