Permit v CITY OF TIGARD SEWER CONNECTION PERMIT
I COMMUNITY DEVELOPMENT Permit #: SWR2013 -00093
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/10/2013
Parcel: 2S112BD06600
Jurisdiction: Tigard
Site address: 14762 SW 80TH AVE
Project: Brittany Meadows, Lot 2 Subdivision: BRITTANY MEADOWS Lot: 2
Project Description: Sewer connection for new SF
Contractor: Owner: BRITTANY MEADOWS LLC
16615 MAPLE CIRCLE
LAKE OSWEGO, OR 97034
PHONE: PHONE: 503 - 781 -1981
FAX:
• FEES
Description Date Amount
Specifics: Sewer Connection Fee 07/10/2013 $4,665.00
Sewer Inspection - Residential 07/10/2013 $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 Ore Utility Notification
Center. Th.. - • - • • re set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a c %.y of the r es r direct questions
to OUNC calling 503.23 . 98 • 1.800.332.2344.
Issue By: � I PermitteeSignature: \_
..
i / �I Jc Ammimmir
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.