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Permit • CITY OF TIGARD SEWER CONNECTION PERMIT a COMMUNITY DEVELOPMENT Permit #: SWR2012 -00113 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/23/2012 Parcel: 1 S 135ACO2500 Jurisdiction: Tigard Site address: 9160 SW MANDAMUS CT Project: Longstaff Apartments Subdivision: ASHBROOK FARM Lot: 25 Project Description: New MF. Building 8 (6 units). Contractor: Owner: J.T. SMITH CO 5285 MEADOWS RD SUITE 171 LAKE OSWEGO, OR 97035 PHONE: PHONE: 503 - 975 -7639 FAX: FEES Description • Date • Amount Specifics:, Sewer Connection Fee 07/23/2012 $27,000.00 Sewer Inspection - Commercial 07/23/2012 $45.00 Type of Use: MF Class of Work: NEW Install Type: Line Tap and Building Sewer Fixture Units: Number of Dwelling Units: 6 Total $27,045.00 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. The : - . -s are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a co y of the rules or direct questions • to OUNC by calling 51' 232.198 or 1.800.332.2344. Issued y: / / Permittee Signature: '--^d Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. •