Permit RFWF R f`fINNFCT MN I
PERMIT
CITY OF T DATE 04/16/96 —°139
COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 1 S 135CA -05400
13125 SW Hall Blvd. Tigard,' Oregon 97223.8199 (503) 839 -4171
SITE ADDRESS...: 11093 SW VERDE TERR
SUBDIVISION ° DAKOTA VILLAGE ZONING: R -12
BLOCK LOT °008
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TENANT NAME
USA NO - FIXTURE UNITS...: 0
CLASS'OF WORK... :NEW DWELLING UNITS..: 1
-- -TY0 OF USE .SF NO. OF BUILDINGS: 1 .
INSTALL TYPE °BUSWR IMPERV SURFACE: 0 sf
Remarks: PATH 8 DUPLEX WITH PROPERTY LINE THROUGH THE MIDDLE
one unit of two with fire wall between units
Owner: .FEES
S &P PROPERTIES type amount by date recpt
16395 SW BELL RD PRMT $ 2200.00 B 04/16/96 —
INSP $ 35.00 B 04/16/96 —
• SHERWOOD OR 97140
Phone #: 250 -2385
Contractor:
CONTRACTOR NOT ON FILE
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Phone #: $ 2235.00 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 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 wil in tall a late -1.
I `s ,
Permittee Si nature: "1 . . A i • •
„,,....._ Issued B,y :(�.
Call for inspection — 639 -4175
. I - i 96. - , 2-- -- 7. az.--
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