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Permit CITY TIGARD SEWER CONNECTION PERMIT fi r ; , l n DEVELOPMENT SERVICES PERMIT #: SWR99 -00027 I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/13/99 SITE ADDRESS; 11899 SW TREEHILL CT PARCEL: 2S1106A -RED12 SUBDIVISION: REDWOOD VISTA ZONING: R -4.5 BLOCK: LOT: 012 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 Remarks: Sewer connnection for a new single family. Owner: FEES FOUR D CONSTRUCTION CO Type By Date Amount Receipt PO BOX 1577 PRMT GEO 4/13/99 $2,300.00 99- 314478 BEAVERTON, OR 97075 INSP GEO 4/13/99 $35.00 99- 314478 Total $2,335.00 Phone: Contractor: Phone: Reg #: Required Inspections Sewer Inspection This Applicant agrees to comply with all the rules and regulations 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 OA' 952 - 001 -0080. You may obtain copies hese rules or direct questions to OUNC by calling (503) 24. ' • Issued by: a=� - Permittee Signature: — Call (503) 63 •-4175 by 7:00 P.M. for an inspection needed the ne /business ;ay