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Permit 1^ ' ^, ' � �- � ' ' � ' ` ` � Ilk � ~ CITY OF � �� �� �n� N���� � . � � ��m������� l���� DEVELOPMENT SERVICES ' ' � m�U��yU�U���U���U�K�U "�n�nx�o��n�°� SEWER CONNECTION "��� ' 13125 KKH80�h«i 7�muiQR9720y(8�)���t7/ . � PERMIT . • � � Blvd., Tigard; �. ` ' ' PERMIT �#.. .-. .'. . : ,SWR98-0240 1 �/ ' �. DATF�ISSUED: 09/18/98 � � ^ �` . PARCEL: 2S1 12DA-00800 SITE DRESS. . . : 15055 SW SEQUOIA PKWY #150 � . SUBDIVISION.....: � I�]N. . . . : ZONING: I—P BLOC'' LOT....,.�...... JURISDICTION: TIG . --�---- ----- -- -- � —�--r---- � — . ' TENANT NAME.....:HOME DEPOT . .' ` � USA NO. . . . . . . . . . : FIXTURE .l]NITS. . . : 265 CLASS OF WORK... :ALT, ' DWELLING UNITS:- . : 1 ' TYPE OF USE.....:COM NO. OF BUILDINGS: . 0 ' . INSTALL TYPE....:BUSWR ' IMPERV SURFACE: 0 sf� � ' . . , Remarks: plumbing for a tenant space. ' / _. Owner: -------�------.------------ — --- FEES ----- — PACIFIC REALITY ASSOCIATES LP type amount by date re pt ' 15350 SW SEQUOIA PARKWAY ` . PRMT $ 2300.00 B ,09/1.8/9B 98-309298 SUITE 4300 ` . . ' '' TIGARD OR 97224 Phone #: ' ' ` .' � `� '' ' .� ` / , ' .. ' . � C t on t � -- — _ r�c or: -- �-�—�-- — � � . OWNER � ` . � . . . ' . � _ . � _____________ Ph/one #: '` $ 2300.00 TOTAL ' . . Reg #..: . ` . ------- ^ REQUIRED INSPECTIONS ------- This Applicant agrees to comp ywith all the rules and regulations ___ ` __ ___ .of the Unified The it expires 18N days from /, _ . ' ' , �e date i�sued issued., The t�ai ambun paid will he forfeited if �e __�� permit expires. Tha'Agency does not guarantee the accuracy of the ' side sewer laterals. If the sewer is not l��ed� the. measurement _ ' � __ ` given, the installer shall prospect 3 feet in all directions from _ ' , ` the distance given. not � so�ocatm� the inal\ shall ` ___' �' . a "Tay and Side Sewer" Permit and the Agency will install' a lateral: � � � . � ' . �. _ _- ,- ATTENTION: Oregon law ��iros you to �Down8e'�opted by the ' Oregon Utility Notification Center. Those rules ' set forth in OAR __ . ___ 952-N0 -NN1Q through copies of ____ ' �'. . __� these rules or direct que�imm��tn OUNC�by calling �0J 246-�987 ' ' � ~ � � ^ � _- � _ � ' ' �m� . � ' �� ` , Isu6 1 :01K . sd by _�� Permittee Signature: ^«��uN0��� . ,!�� • � . �. / ' / , y ' '. . ' .� � ` ' � • +++++++++++++++++++++4 Calk 639-4175 by 7:00 p.m. for an inspection needed the next business ,day � ' ++++++++t�++++++++++++++++++++++++++++++++ • � � . � ^ ' ` . . ` � ` � � � � . � ` , ' � .. .� � � � . , ' � ' �� �' � � . �^ � / . • • • � ' � ` � . �' ^ � � .� ! • � ' . ' l/ Accumulative Sewer Tally •nant Name: / 2 7 PD 'P This SWR# q c6 - Giglio (dress: I 5,) 5,,e,„,„ �`- /.. M # c) This PL: Ci SS -- 0 S ac lure Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added # added #s total Count off #s count value values iptistry/Font 4 ith - Tub /Shower 4 • / 7 / - JacuzzilWhirlpool 4 ` 3r Wash - Each Stall 6 - Drive Through 16 ispidor/Water Aspirator 1 .shwasher - Commercial 4 - Domestic 2 rinking Fountain 1 ,ie Wash 1 oor Drain /sink - 2 inch 2 - 3 inch 5 - 4 inch 6 - Car Wash Dm 6 ,arbage Disposal 16 - Domestic (to 3/4 HP) - Commercial (to 5 HP) 32 - Industrial (over 5 HP) 48 ;e Machine/Refrigerator Drains 1 lil Sep (Gas Station) 6 _ . :ec. Vehicle Dump Station 16 ;hower - Gang (Per Head) 1 - Stall 2 , ;ink - Bar/Lavatory 2 1 a I ,2 - Bradley 5 - Commercial 3 / 3 1 5 - Service 3 iwimming Pool Filter 1 Nasher - Clothes 6 , Nater Extractor 6 Nater Closet - Toilet 6 I t'v I (o Jrinal 6 TOTALS RC '. Total fixture values: v2 divided by 16 = 16, 5 EDU / 7 G l 65--,te 6€vvcf--,11 FP(/ .r,4 HISTORY /G �/)U ifi n / r7,z) - 4' / (A�rkvPs1 _) PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# i:\dsts\swrtaly.doc