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Permit i� C I T Y �i ' , lip y A ' DEVELOPMENT SERVICES SEWER CONNECTION • = ' L" 13125 SW Hall B1 vd. Tigard, OR 97223 (50 639 4171' r, .DA 1 E. '' :H3SUED 0 1:1103/97 . PARCEL„ 1. S 1 SSDBL.,1 �:7aCI7 ��, • SITE ADDRESS. .. :,1.3a =r�.3 SW •SL,r�ihER�aarD DR *FC�c�L , , S 1 t7.i V ISIC3N, . '. , .a FERRY RLJPD . TOE,J IHOMFS Z ? l - (( �' ' � -*TENANT f1SFli�.: . . SCHOLLS ',FERRY T OWid� "i(�iiiE S•._- ; ' __._. - - = ' USA, , Nib ... ..... .r I IJ�.E'LNI . 1 .. X ' CLASS of . WORK. — : Ni D.WEL_L.:C G UNITS. . - 9. • TYPE Q USE..... ,. : ' ' • NO. OF BU•I E__D "I NGS : • . ' ', , • INST4'1-L�, TYPE. .�. o i$USWR, ' • - :IMFERV' SURFACE 0 , s•-'f , - Fin (4kso StNirnfo'inc; Pool & s ai ;loca'te.cl b t aeon lot= 39 & 40)y _•�_ -'_ -- '----- __.._._.._._._.._ FEES .___.__._- -.._._ __ _.... DOWEiv DEVELOPMENT , ENT ' type I .acnou'nt, by . date 15075 SW LOLL PKWY STE .H, . . . P.RMT -$ 2L00.; 017J ,7SD 1_1/ 05 / 30 -' BE'AVE R T ON .OR 970006. INSP $ ' Sao 00' JSD 1 1 / 0 5 / 9 7 77— .,IZt1 7'Zi6 ' ' i= !hone, ' #. ��. ' Co n t r o,r',.e -__.;" . �._�__. 1 _. ... .._ - y - L ;blf\;E j . . , • li Ph one � � , - .. � $ ; �=' u:�. 00 • i;uT,AL ' , 'Red 4-$.". , - -- - - - " -- REQUIRED •. I N3r'E G7 I OON ,_. - -_ , This Applicant agrees to cooply with all the' and, reg . Sevipr Ills oec.t ;ioii _ _ , :of the Unified :Sewage Agency. The permit expires 180 days frog . • _ - .- -• ., _ ' 1 the • date,'is•sued ;. The total azount- paid will he' forfeited if 'the • _` ' _ ` pei"nit 'Expires. The Agency. does,, not guarantee' the accuracy of' the _ ' side -sewer laterals. If the sewer is not located at the neasureacrt. ' yiv.En,, the installer shall prospect 3 feet' in all directi.]ns froo -- „ -- `the distance., y ;.en. If , not• su, located., the insta'ller'.'shal'l,,�purchase; ' .__. ,- .__._._. •' _,; ' : �... ._,: ..,___'_,L, . - ° a, "Ta and Side; Setter" • ' Perlit, and the 8geicy will install 'a °,lat'eral,, , — — - 1 ` _ ' ' .r '■ ' 'PTTENTION Oreggon jaw requires' you,:to folloty rules ad'ootec . 5 y, the, .. . ' .' ' -- ' , - " • . Center. - i OAR Gregon ltiilit�' y i�c r icati�on Centy er. Those'•rul's at=e%set ,Graft ",ii, OAR - _ , 95c ii1- ?tiO',th'rough OR 2_ 9 - 1 -001Q: ",,u oav 'obtain copiet, ‘ . ,.t — . ' these, rules'or'direct questions to 7Uts t•v call'ing'( 3)246 -1987. _ — Ia Su_te di by � Per ini.'c - ee S'igna•tLir^e - ;� •--- • I n i •+--f +•r•-i--f--i-°t--F•-1 - -- 1-+-h•-1-t i• + + +-1- +i°.Q..y.._r: +4 {. i --i--: ';F'-!- •, -i_ ++ +^W..i--t--I-•4 + +-F•-I-+ 4.� h + : 1 , -•f -'--- I +-4 •i- •i -1 - +•i-f - i-4 -{-+ I -..i 4 p- 4•- 1-•+-i. --I --F I--f -I 14.44. +- r-l-±-i--hi ; zt- - +i- •s -+± - + +'F + t I- +-I -- - t-I- -I +�i{ -....1 • -r i- I-- i•-r-f- -r.i-••i -+ i - , i �� ` _, 1 ,1 .�. T 'ft , V. 1 ' p ry' • Accumulative Sewer Tally �� �� 7 - D Tenant Name: '7 0 �? 0 Sw o1e(WP This SWR# Address: : - 1 , 0 od I L2.tl. - .h A*. g 41 •.. � �� PLM #: �L�1 7 ({ 1 i u ouce 5ta h nkfA � � IY Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added # added #s total Count off #s count value values Baptistry/Font • 4 Bath - Tub /Shower 4 I 4 4 - JacuzziMlhirlpool 4 • Car Wash - Each Stall 6 - Drive Through 16 Cuspidor/Water Aspirator 1 Dishwasher - Commercial 4 - Domestic 2 Drinking Fountain 1 Eye Wash 1 Floor Drain /sink - 2 inch 2 I ca- - 3 inch 5 - 4 inch 6 - Car Wash Drn 6 Garbage Disposal 16 - Domestic (to 3/4 HP) - Commercial (to 5 HP) 32 - Industrial (over 5 HP) 48 Ice Machine /Refrigerator Drains 1 Oil Sep (Gas Station) 6 Rec. Vehicle Dump Station 16 Shower - Gang (Per Head) 1 - Stall 2 I .2-) Sink - Bar /Lavatory 2 I ;-.. - Bradley 5 - Commercial 3 1 4 - Service 3 Swimming Pool Filter 1 I 1 I Washer - Clothes 6 Water Extractor 6 Water Closet - Toilet 6 I ( _ Urinal 6 TOTALS 1 Total fixture values: I C1 divided by 16 = I • 1 9 EDU HISTORY PLM #q 7 -, c lA EDU# SWR #o3Q7 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 J 03/24/2000 Activities for Case #: SWR97 -00397 12:24:50 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes SWRB003 Application received 11/04/1997 JDA PASS JDA 11/04/1997 SWRB008 Permit Created 11/04/1997 JDA PASS JDA 11/04/1997 SWRB025 USA Sewer Card Processed 11/04/1997 - JDA PASS JDA . 11/04/1997 SWRB032 DST Post - Review Completed 11/04/1997 JDS PASS JDA 11/04/1997 SWRB070 Ready to issue 11/04/1997 JDA PASS JDA 11/04/1997 Issue the Blue Sewer card with this SWR permit • SWRB705 Sewer Inspection 11/05/1997 11/07/1997 MS PASS J'H 06/09/1998 Per review per Mike S. SWRB080 (F) Issue permit 11/05/1997 JSD PASS JD 11/05/1997 SWRB720 Case Finaled • 11/07/1997 • MS PASS J'H 06/09/1998 • • • • • • Page 1 of 1