Permit , . .. . ,
. t s S EWE (� CUl�di�lEGT I DS`� , , , • . r= .E ItiiiI o �.
• - COMMUNITY DEVELOPMENT DEPARTMEN " - . PERMIT #. . .. a SWRcl3 —0 1 B 7 .
, '
' 13125 SW Hall - Blvd. Tigard, Oregon 97223!8199 (503) 639=4171 ,
- . , 11.3q - . ' " , DATE ISS1, ED 6 5 /�Zl,=; /h 3,:
, A�? l�s . ,L 10568- SW TITAN!' L; ' ; , 'PARCEL!: '231.1.5AA - -11 "7oL '
3UBD I V I S I ON. ; .r BE.RI :i._El'' ESTATES • , , ` , - ..'l7N'7 G ,
r o ° s L Of , _. e . y ' . z , . o 0+9 -_ ' _.___.
L'5 E1.,N0. _''. ,; ..i,. . , - FIXTURE UNITS...:.
"i: r_l a4s OF' l (J f; .; o epic 6i', ' DWELLING UNITS 1 1
:s'�: -E OF USE.., �SF .• - ' NO. OF EUILD1NGS� 7. • .
I JSTraLL .'lye 'E e LyUSW�k" liy1F'Ea SURFACE... ,. G sr
Remar'I' is• 'RlTI�• .1 . - , - ! ;
. - L.
•
BLDR. type amount by-, da{:o' ..Trk
' -G BOX = 3E91' FFRhi _ 1 04J. :DO 3 l 5ilzl3' /9,3
_ 'IiiiSP $ 5. OQi H l 5 /f1_l3/7 3' ._ .
' 'Rhone #;".684 -754°, '
Contr`�,-�r_tor �.____- - - - - -- - - -- - -___ '= —•__•_— '
. ,
r -hone # ; _ ' .. - 213 5. �ZHZ� TOTAL ' , .
' REQUIRED' INSPECTIONS' .-----"L,,--'--,--- ; . •
thi_- APpiicant agrees „ tb caepl With ail the 'rules and reruiations ' ,Se.wee �Inspec•t: ton _� _ __
of the Unified Sema4e Agency.' Th - e peri;it expires 180 iron - ' -- ' . i
;the date issued. The tots'!,- aaount paid will be forfeited if the ____—
pereit •expires. 'The' Agency' dees not guarantee -the accuracy of the - _
side setter laterals, If the sewer is not located - at the "cea_•ur -eaer;t
—
gi'4en, the installer ,_hall ' r•os'pect 3 feet in all directions: frog , ' __
the distance_ given.. if not -so located, the installer shalt purchase �_ ,.
. a Tap and Sice' S2Wer ° Pernit and the AyenCy will install.; a lateral. __ __ —. �_ . -
' ' 'Rermit S'inati_ir�e.� -� �_ ' _ - -- ,
T =s s �_� e d Bye _ __._. --
.. _
-, Cal 'for• irlsp'ec,t on - 63,y- •4171:, _ '
•