Permit ■• -_- -
N0 �� TIR.D ���NN NN � ����
SEWER CONNECTION
al* OF TWA RD PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT mom PERMIT #.......: SWR93-0125
13126 SW Hall a��������.����(�) ��1�
~ ^_^ .. __ -..`.__ • • ~_._-
�. ^~' .
.^.-
SITE ADDRESS...: 13659 SW WESTRIDGE TERR PARCEL: 2S10400—HS057
SUBDIVISION....: HILLSHIRE ZONING: R-7 PD
• BLOCK.......... LOT ~057
TENANT NAME.....:
USA NO ' FIXTURE UNITS...:
CLASS OF WORK...:NEW DWELLING UNITS..:1
TYPE OF USE.....:SF NO. OF BUILDINGS:1
INSTALL TYPE....:BUSWR IMPERV SURFACE..: :sf •
Remarks: PATH I
Owner: --------- -- -- --------- FEES ---
' PAHLISH HOMES INC type amount by date recpt
7155 SW VARNS PRMT $ 2100.00 JH 03/23/93 —
. INSP $ 35.00 JH 03/23/93 —
PORTLAND OR 97224
Phone #: 684-6453
Contractor: ------
LX]NITRACTQR NOT ON FILE — ` -
.
Phone #: ' f 2135.00 TOTAL
Reg #..
REQUIRED INSPECT IONS -------
This Applicant agrees to coop y with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The pero t expires 180 days froo
the date issued. The total auount paid will be forfeited if the
peroit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not locatO at the oeasureoont
given, the installer shall prospect 3 feet in all directions fron
the distance yiven. If not so located, the installer shall purchase
a "Tap and Side Sewer' Perait and the ADency will install a lateral.
Per mittee Signature: •
' ----------
Issued By :
Call for inspection — 639-4175
•
•
• •
•
•
�� ��
- ~, �����^u �
,
.