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Permit SEWER 'G,t7N ECI - ION , • ' ITY( OF T I G 4 RD` PER h; I�T COMIV4UNITY'DEVELO,PMENT DEPARTMENT , ' F�Et i T #. d .. .. st R9 3 -! 126 ' 13125 Heil Blvd, Tigard,' Oregon, 97223.8,199_'(503) 7.1 839 -41 b r � . _ - r ' „' b, , a - i• - • _i_-+3': } —x+1 /1,, DA�`_E I;�SUED:r k'r!-tI ,_1/ :5' y 'SII E ADDRESS.... 13695 SW WEST RIDGE TERR .„ , PARCEL '`S1.Z14 ®@'— I- ISkZI55 SL!E'DIVISION. ' • HIL•.LSHIRE ,. ','� ' 2ONI.I\10 :. - . USA •NO o . FIXTURE UNITS.. . ' CLASS OF kW'JRK`b :NEW,' , - , ;. „ ' DWELI_I NG • UN'T S e1, ' .TYPE-1. OF USE. - o = a Sf=, •tix' .NO:' OF'• 1 r. • INSTALL TYPE.. • -o I3USWR . "' IMPERV . SURFACE':, .. '''./-,- s f : ,,: , - Remar.s PATH I ", ' :'Otanter°n , -' .. -• - - -- FEES - - - - . DEV'' . „ : 't:ype ' amount ` by , '_dace . - r °cot•.' - - •70?r8 SW I\IYBERG RD , - PRMT $ 212Q. CIO J,;= ' 0Zt4 %E1 /93 _ ; ' '' - • ., INSP $ 35. Ala J • i14/E:1,'/'93 - . ;UALFITIN OR`'97'6E:. - • Ph on E :.# . 692: -6L3 =;, • Con tit' act o_r`' —1: .. �•� CONTRACTOR NOT ON • FILE' ,. - • ` 70 o B' �lrtl ' • ; p yy-' {-- G � , _ - • _ • • , T u O ., 70 , , - __ - -- c '.Phan6, 6 9 / -.(a.3 5_ ' ' - - ' 2135 TOTAL_,. , ',, Re' ' #. . ;;; R y - REQUIRED • •INSPECT :SONS . y - - -- = � ' �',Thi,s Appli tp conpiy with all the rules and reouiations , Seer , Inspe:ct,io : of t e,,lin fief,' Sei Agency. , The peroit eripires 1911 days frog _ ' 4 the ' 'date .issued. The total asount •paid will be 'forfeited if 'the perni,� - expires. • The Agency dais •'not_.nuarantiee,-the accuracy of the, . - , . _ _ • side sewer laterals. If -the sewer ..is- not located at the raea+irenent - , . ' • oi,ven, the installer shall' prospect: 3; feet•_ in :'all- directions ftoa _ - ' - the distance, gi' :f. not 'so- located° the, installer shall';-purchase _ - - , • a "Tap 'and Si de Sewer° Pernit'.and' thP A ency will instal 11 lateral. -• - ` ` r • .Perr ini.tt -ee' Signatur,e 1. ' ; ;'Is :4',u,ed Ly ; - u Carl fcrr in=s � — 639- -4175 ' , , - 1. 8 r • ri