Permit I
SEWER CONNECTION
CITY OF T PERMIT #PERMIT • SWR93 -0425
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 10/20/93
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171
PARCEL: 2S1048B -01800
SITE ADDRESS...: 14306 SW W I NDSONG CT
SUBDIVISION • CASTLE HILL ZONING:
BLOCK • LOT -049
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 1
Remarks: PATH I
Owner: FEES
J P CONSTRUCTION type amount by date recpt
10275 SW GULL PL PRMT $ 2200.00 JH 10/20/93 —
INSP $ 35.00 JH 10/20/93 —
BEAVERTON OR 97007
Phone #: 524 -3295
Contract or:
CONTRACTOR NOT ON FILE
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 l813 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 'nstaller shall purchase
a °Tap and Side Sewer° Permit and the Ay
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9 w "' • . ( al.
Permittee Signature: :.r ..� . /
Issued By:
it) ir- Call for inspection — 639 -4175
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