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Permit - ` � ' � ��� ,���� � � ��� | � ' � �EWER CONNECTION (_-/ �. PERMIT ' / ITY OF T � .PERMIT #.......: -SW 5-0 DATE, ISSUED: �9/11/95 � ' COMMUNITY DEVELOPMENT DEPARTMENT . 01os Hall Blvd. Tigard, Oregon 972230619m (503) 639-4171 ' PARCEL: 2S112DA-00400 � / � � S'&2_06 . .SITE AD�RESS. . . : @6�50 SW R�DWOOD LN ` � ` ' ``� . � ' � SUBDI\yISION. .•. " : • ' . �- '� • .. ZONING: I,�� ' • ' DBLOCK". . . � � � ' . :, ' LOT.. _, . ' . . . . . . . : ' , , . . '' _ • . • _ __ TENANT 'NAME,....:IMAGE BUILDERS ` � USA N8. .:. �.. . . . . . : FIXTURE UNITS. . . :16 CLASS OF WORK. .. :NEW r : . DWELLING UNITS. . :1 .. TYPE OF USE. ..:COM ' ' NO. OF BUILDINGS: ' INSTALL TYPE. .'.:BUSWR • IMPERV SURFACE..; :sf ' . � � � � � ' Remarks': TIfor Image Builders Software; adding fixtoreS . . . ,� � . `� Owner: ----�-------------�------ ' ----�-------------- FEES -------------- . PACTRUST ' ''. .. . ' - type amount ' by date recpt � PRMT $ 2200. 0@ JSD 09/11/95,95-270347 � . ` � O R . � � . . Phone 4: ' . ` � � Contractor: ----------------- ------ ' CONTRACTOR'NOT ON-FILE ' ' " � . - ' ` �. � . � � ___ . � it: ' �� Phone ^ . ` $ H 22Q0.�00 TOTAL � � Re� #.�� ` ` � � ` ' • REQUIRED INSPECTIONS .---�7---• ' This App ic,an � to cooply With all the rules and regulations ' ' _____ ___ _______ ____ of the Unified Sewage fluency. The perait expires IN days. from '_ _ . _�___ the date issued. The totalaaomt paid will be forfeited if the ______ � __ pe?nit expireS. The •Anency does, not guarantee the accuracy. of the , _�______ ___ _____ . _ - side sewer laterals. If the sewer is not located at the measurement _-. _ _______-_ given, the i:sta]1 shall, prospect 3 feet in all directions moo ________ ____ the distance given. If not so located, the installer shall purchase ________ __ a "Tap and Side Sower" Permit and the Agency will install a' lateral. __ ___ ________�_ _______ ' __'____ ___ Perm ittee Si t : - ' '� � � � . � � � Issued By : • � ____ __________ _�- '. _-_______ . .' ` . ' • . ` "~� . . � . . � � .- Call for inspectibn - 639-4175 ' ^ ./ � � .` ' ' . ^ . ` � . � • .� ' . ' • • • , ' � . � � � � ' � . ^ . • ` ` ,' � � ` � ^ . • � .� - ' . � ' ., ^� • . �` . . � � ^ � � • . � . � � � �� ` . � . �, . • • � ` ' ' � � � ` � ��L/ � � � �� ��-- o � /�' -/ - . ' . . � / -� / / . � � � � . � / / � '� ` � � � ' . / �. • � . � � �`� � ` .• / � �. ' - - - -_ -