Permit _ A CITY OF TIGARD
DEVELOPMENT SERVICES SEWER CONNECTION
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PERMIT #PERMIT • SWR99 -0026
DATE ISSUED: 02/22/99
PARCEL: 2S11OBA —RED13
SITE ADDRESS...:11879 SW TREEHILL CT
SUBDIVISION -REDWOOD VISTA ZONING: R -4.5
BLOCK LOT •013 JURISDICTION: TIG
TENANT NAME -FOUR D CONSTRUCTION CO
USA NO FIXTURE UNITS...: 0
CLASS OF WORK... :NEW DWELLING UNITS..: 1
TYPE OF USE -SF NO. OF BUILDINGS: 1
INSTALL TYPE •LTPSWR IMPERV SURFACE: 0 sf
Remarks: Sewer connection for a new single family dwelling.
Owner: FEES
FOUR D CONSTRUCTION CO type amount by date recpt
PO BOX 1577 PRMT $ 2300.00 B 02/22/99 99- 313140
BEAVERTON OR 97075 INSP $ 35.00 B 02/22/99 99- 313140
Phone #:
Contract or:
OWNER
Phone #: $ 2335.00 TOTAL
Reg #.. .
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspect ion
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 install a lateral.
ATTENTION: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 -0010 through OAR 952 -0801 -0880. You may obtain copies of
these rules or direct questions to OUNC by calling (5031246 -1987.
1
Issued by: ��L� 4U'� —� Permittee Signature: ' /
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Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
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