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, . _' - _ • ' ,• • SEWER CCNNEC T I ON ' CITY: . r. TI GII4I R D y :_,� .... ._,LI\ +, *lI No a 'n SWV9 ..5.-"9•9% ~` -,,C- ' _ COMMUNITY DEVELOPMENT DEPARTMENT ' , ' ' _ , _ „ • 13125 - � filall Blvd. Tigard,. Oregon '97223!8199 (503)' 839-'4171 - 1J3:•; �,=. , : SOUE ? 1IG / E.13, / ` ;,3 . 4 4.1t, `" - - . � ; ' • ' ,Ci: .A,DDRE v BS. . w '1 1834 SW irk • PL • . PARCEL: 15133DI)- 13300• ' ;at_ °'.:'d; a;.71 ION:. . . . _ y 1....LP -,.SE AT SLINIfiiR L XE PAR/. 4 ' ,.: , ' Z CiN: I O L rt - -4. 5 -J�`J� LICK. • . o -. .. LOT , , a 1'•f -, ', .TENANT NAME; tl a �,__...____ -- ...._... ,_ USA NO:. . .; a,a a'; a . • • F - IX 'UNl TS.... . , . , • ' ,.;i.L 3O f:�i='lipi K '' : i.'rALL1I G'.,LN fr.i.'.:".. - • • ,TfPE pit 'i1 i.:Le.,..a . '..: SF. , , • , . NO., OF"ElLILD.tNS5,a.1 , - • , X1∎ ti, n Y -E. •DUSWR' ' - • IIXPERV 'SL.11.7E* tE"„ a : t .� . .ileinai' iesr. • PATH I. , • '• rhatl4. !TIP% --- - — ^77 — _._,_ ..A. , - •_ _ • ..-- , , --- — FarS ,.._..._. - 013,.ay` :Nat f:1 SSE`TTTE E- 1OIY1ES •: • • • ' , •' ' , •ti,y.p"e ,;arbour= ' _ try , rtd4t e . 'r• -e cp;, ' . • • ' , • . 'i S' X555; W , r ; ,RANGY RD 4201 :PRMMiT', $ E 100;1.100 V RG•• Q6'/29:/.93 9 .4 3..78r.) ' • , ' • It AISP t 3: . • 1) RG 06 /29: c; 3 ( )a-241769.. . ...LAKE O.3WEEt' OR 70::; . • ' • .Phone #. 620-753a , ' : - ' - . - .L:Qntractor: - -.:.,_ _;._ _ • t:,;:;'E��TR tat= TOR o NOT ON •FILE' ' . - ' 'r ' 'h tin e •';� 6 . ' a 2 135. QIQI TOTAL, - - ------ - REQUIRED I NSPECT I ON3 —. - -- -' This Applicant agrees. to ccnpl,y 'iet,th all the rul'es•ana;reoulati'ons ' Sewer Inspect T on of. the Unified Serrage'P_�enry. "The- tpero$t Vcpares• L IS'adays free - ° ;, '�: :.; '- ,. ' he oats issued. The total cant pair :.iii be fo-rfeaed if the �' -- _ ; , .permit expires. The fluency dues nor; G4ar €nt=a'•the' accuracy of the •� _ , _____ _ T _ - - slae ses,er .lateral s. if the sewer is :IA located _as the aeasureeent y . ..given / the- installer shall 'prospect's feet in 'ail directions fros __ - ' tie ti15tanee if net 5a ,located tl:e installes'-she:1 purchase _,_ ', • a °Tap' and Side Goa?' . PErolt,anti the Agency' will instal a la`teral.. - • Perrnit Signatur=e 1 • • , -w — — - • • - ' C a11 for_ Inspect ion 639 -4175 , ' . . • ' • , • r .. - ' . " , • t, ' • ' '. ' n T . - .