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Permit SEWER CONNECTION CITY OF TIGARD PERMIT F�ERMIT # SWR96 -0381 ' COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/21/96 13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 539 -4171 PARCEL: 29110DB -00200 SITE ADDRESS...: 15161 SW ROYALTY PKWY #F SUBDIVISION • WILLOWBROOK FARM /ARBOR HEIGHTS ZONING: R -25 BLOCK • LOT •8 TENANT NAME •ARBOR HEIGHTS USA NO • FIXTURE UNITS...: 0 CLASS OF WORK...:NEW DWELLING UNITS..: 24 TYPE OF USE -MF NO. OF BUILDINGS: 1 INSTALL TYPE •BUSWR IMPERV SURFACE: 0 sf Remarks: BLDG F, 1 OF 14 MF UNITS 24 DWELLING UNITS Owner: FEES SECURITY CAPITAL PACIFIC TRUST type amount by date recpt SUITE 201 PRMT $ 52800.00 JMH 08/21/96 96- 283125 1 330 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 $ 52800.00 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 ' t a la ral. / - Permittee Signature: Issued By: kleir4--(141 ?li-4 Call for inspection — 639 -4175 Page No. 1 CASE HISTORY FOR CASE NO.: SWR96 -0381 SECURITY CAPITAL PACIFIC TRUST 15161 SW ROYALTY PKWY Unit: F 07/20/98 Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By - - -- - -- - --- -- -- - -- SWRA007 Application received / / / / / / 08/05/96 J *H SWRA010 Plan check by / / / / 08/05/96 08/05/96 J *H SWRA070 Ready to issue - / / / / 08/05/96 PASS JMH 08/05/96 J *H SWRA080 (F) Issue permit / / / / 08/21/96 APPR JMH 08/21/96 J *H SWRA705 Sewer Inspection / / / / 10/14/96 PASS TLP 11/06/96 TLP SWRD720 Case Finaled / / / / 10/14/96 PASS TLP 06/16/97 J *H