Permit ., _,
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT SEWER CONNECTION
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 PERMIT
PERMIT # • SWR96 -0210
/ DATE_ ISSUED: 08/02/96
Scko IIS fi 1 &8 OWN liof&S PARCEL : 1 S 133DB -FC013
SITE ADDRESS...: 13385 SW SLJJMMERWOOD DR
SUBDIVISION - n:.. - ZONING: R -25
BLOCK • LOT -013
TENANT NAME •BOWEN REAL ESTATE TO SELL
USA NO • FIXTURE UNITS...: 0
CLASS OF WORK...:NEW DWELLING UNITS..: 6
TYPE OF USE -SF NO. OF BUILDINGS: 1
INSTALL TYPE.... :BUSWR I INIPERV SURFACE: 0 sf
Remarks: SEWER PERMIT FOR 6 SF UNITS AT BUILDING #3 OR 6 DU'S
Owner : ---- ---- -• - - -- - FEES - -- -- - -- -- - --
MCM ARCHITECTS type amount by date recpt
1022 SW SALMON SUITE 350 PRMT $ 1320121.00 JDA 08/02/96 96- 282466
INSP $ 35.00 JDA 08/02/96 96- 282466
PORTLAND OR 97205
Phone #: -5757
Contractor: -• _
CONTRACTOR NOT ON FILE
Phone #: $ 13235.00 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 mea ement
given, the installer shall prospect 3 feet in all direct'•ns fro\
the distance given. If not so located, the i' tal r.1 purch: 1 _
-- __
a "Tap and Side Sewer° Permit and the cy wi i an la . �/" -
h — -- -
Permittee Signature: ��_ �. �'� -
Issued By: _ F._ _ ___ —
Call for inspection -- 639 -4175
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