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Permit CITY TIGARD SEWER CONNECTION PERMIT fir^ DEVELOPMENT SERVICES PERMIT #: SWR2000 -00135 1 illo " ''- - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/14/00 SITE ADDRESS; 09416 SW WASHINGTON SQUARE RD K -8 PARCEL: 1 S126C0 -01107 SUBDIVISION: ZONING: C -G BLOCK: LOT: JURISDICTION: TIG TENANT NAME: AFTERTHOUGHTS USA NO: FIXTURE UNITS: CLASS OF WORK: ALT DWELLING UNITS: TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: Tenant improvement: Move existing fixtures, no new fixtures added. Dummy Permit. Owner: FEES PPR WASHINGTON SQUARE LLC Type By Date Amount Receipt BY THE MACERICH CO ATTN JANET FISHER, ASSET SANTA MONICA, CA 90407 Total • Phone: Contractor: Phone: Reg #: Required Inspections I 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 No ' ication Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain .• •ies •, ' e .e r -s or direct questions to OUNC by calling (503) 246 -1987. Issued by: A t � � 1 A i / Permittee Signature: Call (503) 639 -417 y .:00 P.M. for an inspection needed the next business day • Accumulative Sewer Tally renant Name: / +t`- tk c 1 GI 15 C - This SWR# CITO -- 0013 5— Nddress: ']1-/(C. Sw (A)A4 G „ ,Fon ' tt VA r >! This PLM #: gcOo - 00,R) 7 • mixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added # added #s total Count off #s count value values Baptistry/Font 4 , Bath - Tub /Shower 4 , , - Jacuzzi/Whirlpool 4 . Car Wash - Each Stall 6 - Drive Through 16 Cuspidor/Water Aspirator 1 Dishwasher - Commercial 4 - - Domestic 2 Drinking Fountain 1 . Eye Wash 1 Floor Drain/sink - 2 inch 2 - 3 inch 5 • - 4 inch 6 - - Car Wash Drn 6 Garbage Disposal 16 . - Domestic (to 3/4 HP) - Commercial (to 5 HP) 32 ■ - Industrial (over 5 HP) 48 Ice Machine /Refrigerator Drains 1 . Oil Sep (Gas Station) 6 - . , Rec. Vehicle Dump Station 16 Shower - Gang (Per Head) 1 . - Stall 2 . Sink - Bar /Lavatory 2 `- f - Bradley 5 - Commercial 3 • - Service 3 . • Swimming Pool Filter 1 - • Washer - Clothes 6 , Water Extractor 6 , • Water Closet - Toilet 6 1 Urinal 6 , TOTALS 2/(23 — 3 3 _ 2 / A- / Total fixture values: 2 / / 0 3 divided by 16 = ( !. '/ EDU 13 N T 1 O C (ta,910 -( 9 E U Coon • HISTORY PLM# EDU# / 31 SWR# PLM# 11 0013 Z EDU# 13 0 SWR# /Cf9' 000q- PLM# 20 - ©oz r EDU# f , SWR# 2doo -00 /3Z PLM# oo i EDU# i o SWR# -0 O# 0 PLM# - . 0o23� EDU# / 0 SWR# ,. _•o i < PL,M# • 4- Do p EDU# • SWR# ' 4 ao 73 PLM # /fq _ po !1•i EDU# 0 SWR# - oo( G PLM# i qy -000 55 o SWR# ,Z' _ 0; Odstslswrtaly.doc •