Permit CITY OF TIGARD SEWER CONNECTION PERMIT
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LII IL
`13 :- ., COMMUNITY DEVELOPMENT Permit #: SWR2013 00033
'T I G ARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/26/2013
Parcel: 2S 112DC00701
Jurisdiction: Tigard
Site address: 15957 SW 72ND AVE
Project: Bikram Yoga Subdivision: FANNO CREEK ACRE TRACTS Lot: 39
Project Description: 3.440 EDU increase
Contractor: Owner: PACIFIC REALTY ASSOCIATES
ATTN: N PIVEN
15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 02/26/2013 $16,047.60
Type of Use: COM
Class of Work: ALT
Install Type: Building Sewer
Fixture Units:
Number of Dwelling Units: 3.44
Total $16,047.60
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, . e of OR. Specia -Codes and all other applicable
law. All work will be done in accordance with approved plans. This permit will expire if ork 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 he rules ad• • : - •y the O egon Utility Notification
Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You m. obta'. a copy vf the ru or direct questions
to OUNC by calling 503.232. •87 or .800.332.2344. I
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Issued By: L I / , U Permittee Signature:
• Call 503.639.4175 by 7:00 a.m. for the next available inspection
This permit card shall be kept in a conspicuous place on the job site until completion of
Approved plans are required on the job site at the time of each inspection.