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Permit CITY OF TIGAR® SEWER CONNECTION PERMIT '1 COMMUNITY DEVELOPMENT Permit #: SWR2012 -00238 Date Issued: 02/21/2013 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718 2439 Parcel: 2S109DA15300 Jurisdiction: Tigard Site address: 15337 SW GREENRIDGE PL Project: Arlington Heights No. 3, Lot 72 Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 72 Project Description: Sewer connection for new SF Contractor: Owner: STONE BRIDGE HOMES NW 4230 GALEWOOD ST SUITE 100 LAKE OSWEGO, OR 97035 PHONE: PHONE 503 - 387 -7577 FAX: FEES Description Date Amount Specifics: Sewer Connection Fee 02/21/2013 $4,665.00 Sewer Inspection - Residential 02/21/2013 $35.00 Type of Use: SF Class of Work: NEW Install Type: Line Tap and Building Sewer Fixture Units: Number of Dwelling Units: 1 Total $4,700.00 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION. Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 2.1987 or 1.800.332 2344 Issued By: )454/1767-1-e - Perm ittee Signature: - - -��� Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. G.