Permit CITy OF TIGARD SEWER CONNECTION
• COMMUNITY DEVELOPMENT DEPARTMENT PERMIT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 PERMIT # • SWR94 -0097
639 -4171 DATE ISSUED: 03/08/94
•
PARCEL: 2S104BB -01500
SITE ADDRESS...: 14341 SW WINDSONG CT
SUBDIVISION • CASTLE HILL ZONING:
BLOCK LOT °052
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
NABCO CONSTRUCTION type amount by date recpt
20560 SW 98TH AVE PRMT $ 2200.00 JH 03/08/94 .
INSP $ 35.00 JH 03/08/94 .
TUALATIN OR 97067
Phone #: 781 -9871
Contractor:
CONTRACTOR NOT ON FILE
Phone #: $ 2235.00 TOTAL
R eg #• ° °
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspect ion
of the Unified Sewage Agency. The permit expires l80 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 Agen y will install a lateral.
Permittee Signature: lw 5,.1.4/'.lbad.
Issued By:
Call for inspection — 639 -4175
,) 41' 7q,s-