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Permit SEWER 4.1lvNEC i I ON PERMIT Cliv OF TIGARD DATE I ISSUED: 08!2M: -0389 • COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 PARCEL: 251 1 0DB- -00200 SITE ADDRESS...: 14999 SW ROYALTY PKWY #P SUBDIVISION • WILLOWBROOK FARM /ARBOR HEIGHTS ZONING: R -25 • BLOCK • LOT • e TENANT NAME •ARBOR HEIGHTS USA NO FIXTURE UNITS...: 0 CLASS OF WORK...:NEW DWELLING UNITS..: 28 TYPE OF USE •MF NO. OF BUILDINGS: 1 INSTALL TYPE •BUSWR IMPERV SURFACE: 0 sf Remarks: BLDG P, 1 OF 14 MF UNITS 28 DWELLING UNITS Owner: —• -- -- FEES - - - - -- -- SECURITY CAPITAL PACIFIC TRUST type amount by date recpt SUITE 201 PRMT $ 61600.00 JMH 08/21/96 96- 283125 330 112TH AVE., NE BELLEVUE WA 98004 Phone #: 206 -451 -9292 Contractor: DONALD M DRAKE CO 1740 NW FLANDERS ST PORTLAND OR 97209 —• Phone #: 620 -0868 $ 61600.00 TOTAL Reg #..: 084045 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 .1 lateral. Permittee Signature: 4 __ Issued By: 4111V .� ' G�INK� � / - Call for inspection — 639 -4175