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Permit 14 n CITY OF TIGARD SEWER CONNECTION PERMIT COMMUNITY DEVELOPMENT Permit#: SWR2013 00168 T I G AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/22/2013 Parcel: 2S110CB10100 Jurisdiction: Tigard Site address: 15382 SW ARLINGTON TER Project: Arlington Heights No.3,Lot 89 Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 89 Project Description: Sewer connection for new SF Contractor: Owner: STONE BRIDGE HOMES NW 4230 GALEWOOD ST,STE 100 LAKE OSWEGO,OR 97035 PHONE: PHONE: 503-387-7577 FAX: FEES Description Date Amount Specifics: Sewer Connection Fee 08/22/2013 $4,800.00 Sewer Inspection-Residential 08/22/2013 $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 $4,835.00 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 503.232.1987 or 1.800.332.2344. Issued By: � •- mittee Signature: A 2- Call 503.639.• •y :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.