Permit I' ' C _
SEWER CONNECTION.
�J I , D EVELOPMENT' SERVICES r'F:"?�'�iT.
:. ='�_� • 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 • PERMIT # :: _ -. ° S tai R' - -'' 0 7 ;a
. DATE ISSUED i . ,
. P ?RCF:L. =S I 1 , 0 1 3 D - - . 0 1 , 6 IDn1 ,
'b.
SITE ,ADDRESS ,. , . J. lr: DZi SW BULL, NOLJNT ?rI'd RD .. .,
`.Ll��DT�JIL;l:i�ila„ „„ fC]P�!'E'�IC�, ! -1�'
BLOCK.. ,,,,.ea L_OT'._ - ,,.. =a an ,; JLiRISDI T.[,C. ,
TENANT ' ryanmE.:, . u . - .
' USR NBC), _ , e , a , o . F.T XTURE , UNITS„ o „ „ 0
CLASS OF WORK. . ., a NEW , DWELL INS UN ITS, ', - 1 ,
.TYPE OF USEE.. = a = ° Sr. • NO OF 1 iU I r..D I NCS :, i
I N,1 TAL!_ TYR'�"F.... ,. n r, 1 J. ^-.LIP . INFER!) SE..', RFC.,ICE : • • , 0 , F ' ,
Fi- 9:1 r"f-'' "H J. SF i L S , .
Gl.•..OE'.i3E WALL CONS TRUCT 1ON - r.1.e r_ u n fi d a t e recpt
85,55 SW T L JRG:L.JO I SE PRM 1 $ 2E0171,,. 2% .Isla 04/04/97 ! __.::. 9F. 761
REAVERTON OR I'?S.J $i' ' E7 04/04/97 �'— �-,i_i•_,- -i •
F n rr ce' • .` 11'_.35 ��� / '1- 1 1'1!_ .
R en - . . -
- . , • -- '— ' - - - -•— REQUIRED NSPEQ� TI ON'C;, —•- -- •- -' - -'.
' TM's- Applicant a7rees to comp1', with all the r ui.e and r ezula. %.fans. Se w e •I Y15G34'r t i C)il
a: the Unirteci :;e;e?ee' P'eency. The cernit expires 18+3 day.= -Eras T• -. _ -- �._...� � -
th to !•EzileC�_ The i,•o }3l'' anount' p3Td :0_1i be forfeited iip' he __ — _._._____
per i' ?xPire=:, 'The i•ICenCy toes not 9 ".,r' ant ce „tile aKCQ.r - .Cf 'e f' the ________ _______ _ __ -_r_
side' sRv r Latera'is:. If - th': sewer is. not located at the 'Ceasurekent _ �
__ __ _ _ _
Overt the. installer shat prospect ,f in all direct i ne fro' _—.� — __ __ __.7.___________
the distance 'eiv'ei. If not so located. the installer' shall, purchase
a "Tap and Side `ever' Permit alit! the H¢ °nCy 11' a - "St?! li'
l erl, � _ —_.. — -- --• —_- __� ,___._,
P e1 r e i. t. a. ' S 1. . a is Liz" e . ..... � y � , .. _ - . •_- �, .�
' . � Ca l I 'for. 'inspect ion E;39,---4175
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