Permit CITY OF TIGARD SEWER CONNECTION
' l .,0, DEVELOPMENT SERVI PERMIT PERMIT : sWR97- O059
DATE ISSUED: 03/25/97
PARCEL: 25104CC- •001.00
SITE ADDRESS...: 13713 SW TRACY PL
SUBDIVISION....: HILLSHIRE ESTATES NO. 2 ZONING: R -7 PD
BLOCK..........: LOT,....o..o.... :106
TENANT NAME..... :WINDWOOD HOMES
USA NO.,...00...: FIXTURE UNITS...: 0
CLASS OF WORK... :NEW DWELLING UNITS..: 1
TYPE OF USE..... :SF NO OF BUILDINGS: 1
INSTALL TYPE. ... :BUSWR IMPERV SURFACE: 0 sf
Remarks: Path 1
Owner: • ------- - FEES -- -- 1
WINDWOOD HOMES type amount by date recpt
14076 SW BENCHVIEW TERR PRMT $ 2200. 00 DST 003/25/97 97- 292147
INSP 35.00 DST 03/25/97 97- 292147
TIGARD OR 97224
Phone .*: 590 -4700
Contractor: - - - -- --
CONTRACTOR NOT ON FILE
Phone #: $ 2235. 00 TOTAL
Reg #..o
REQUIRED INSPECTIONS
This Applicant agrees to coaply with all the rules and regulations Sewer Inspect ion _ —__
of the Unifier,' Sewage Agency. The pewit expires 182i days fron — —_ __
the date issued. The total arour.t paid G. ill be forfeited if the _
perrit expires. The Agency does not guarantee the accuracy of the __� _
side sewer laterals. If the sewer is not located at the neasureoent __ -
_ ___
given, the installer shall prospect 3 feet in all directions fron ____,— _
the distance given. If not so located, the installer shall purchase �__ _ _ ____ -_____
a "Tap and Side Sewer" Peroit and the ncywill install a lateral. — �— �_ ,—
Permittee Stnnature: 7. --it ��� _ + -- _-= - - -- - __ _
Issued By : — - — - -- - - -- -- -- -- -- -- —
Call for inspection - 639 -4175
1