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Permit ' SEWER CONNECTION ,- ,. -' �7I,t ,� 'PERM. " i #. R SWR93 -0E.1 F COMMUNITY' DEVELOPMENT' DEPARTMENT ' : .r ' . '1 3125 SW Hall, Blvd. Tigard, Oregon . 97223.8199(503),639'4171 • ' ' DATE ISSUED:. 05 /13 / 93- • SITE. ADDRESS. a_ore,- 1.kZ533. "SW TITAN LN PARCEL.:: 25115AA- CTU11210 SUBf)IVISION'. 'BERKLEY ESTATES LOFTING , F LOCK.... .. 7 LOT..... o n a a ... , : ,1 • • ; „TENANT NAME : ; iJSA I�10 = n o . .,FIXTURE UNITS... . - - - , CLASS OF WORI';e • o NEW ' , • DWELLING UNITS. N 1 ' , • T.Y, PE OF • USE . . „,,•, •-: SF ••' •• - NO. OF L U I LD I NGS 1, . ' I NS°iPLL- TYPE_ ▪ : BUSWR " • ., I. MPER) S U"PFAiJ�_„ . . • s r- • Re near -k s . PATEL''i- .. _ , owner - -" -" -- _ -- - -- - - -- -- - -_ __ - ---• -- - - - -- _- ___ -_ - FEE _ ..,_:�:_ ;,_ .J'A•vi' f\ F� LE t� '..'t ype �a ni oLint by L 'ci + • r•ec�pt . PD• ' -1?OX • 23 r RNT ' $ :.1.Z1�7_l. 00, _J1-1 05/ 13/93' . `. T.IGARD OR 9728 I ' , . . • • Cont ract or ' •--- •------- -• - - -- - - -- . _ , - CONTRACTOR NOT ON FILE • Ph i 1 ',fi ltZ1 I O'T�;l_ R.e'g. ... • . .. , ' - . _ . • " , . , •- REGU 1 RELY INSPECTIONS — _ - - -- itiis agrees. to coopiy with all the t•'le_r_id r- egulaticiis,�',_ ` - 5ewer hn' =.,pect ion • of'the'Unified Sewane •, expire: l8 ® free �a - • - • ' - _ ' • . the date' ;issued, the total a17ou t paid Hill he forfeited if ,the _ _ J _ • perm ,expires. The PICNIC? does not Querantee,she accuracy of the • side'.eexer 1•aterals. if the sewer is not located at the eeasurenent . _ • • • givep,"L installer shall prospect-3 feet 'in all directions frgo _ - , ' the distanc'e g;''ven: If net so located, .,the installer shall purchase _�_ . 'm _ . . a, "lap, and Side Sewer' Per "oit and the Agency will install' a lateral. . . ' - Perrti Sigriat1.,te'tog • .. __ _ ____ _, I s; s i_t e U L y a : ; . - _ __ - _._.__.__..__ _._ ___._._.__. __ . ' . • •Cal1 f "o i- nspection . -'ES9 -4' • • • • • r • • • • • • •