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Permit q CITY OF TIGARD }° f. SEWER CONNECTION PERMIT .a _;. COMMUNITY DEVELOPMENT WAY" Permit#: SWR2013-00136 Date Issued: 10/02/2013 T[GAR:D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S126D603600 Jurisdiction: Tigard Site address: 9421 SW 92ND AVE Project: Montage,Lot 7 Subdivision: MONTAGE Lot: 7 Project Description: Building 2-Sewer connection for new SFA. 11/7/13,reprinted to add ASI info Contractor: Owner: NW AREA INVESTMENTS LLC 11150 SW RIVERWOOD RD PORTLAND,OR 97219 PHONE: PHONE: FAX: FEES • Description Date Amount Specifics: Sewer Connection Fee 09/03/2013 $4,665.00 Sewer Inspection-Residential 09/03/2013 $35.00 Type of Use: SFA 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 suspe .:: •re the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. T .se rules are -t forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC • calling 503.232.1•': • 1.:00.332.2344. ricniane, Issue. ;y: �/ Permittee Signatu 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. CITY OF TIGARD SEWER CONNECTION PERMIT III rs . COMMUNITY DEVELOPMENT Permit#: SWR2013 00136 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/02/2013 Parcel: 1 S126DB03600 Jurisdiction: Tigard Site address: 9421 SW 92ND AVE Project: Montage,Lot 7 Subdivision: MONTAGE Lot: 7 Project Description: Building 2-New SFA • Contractor: Owner: NW AREA INVESTMENTS LLC 11150 SW RIVERWOOD RD PORTLAND, OR 97219 PHONE: PHONE: FAX: • FEES Description Date Amount Specifics: Sewer Connection Fee 09/03/2013 $4,685.00 Sewer Inspection-Residential 09/03/2013 $35.00 Type of Use: Class of Work: Install Type: Fixture Units: Number of Dwelling Units: 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 503.232.1987 or 1.800.332.2344. Issued By: ittee Signature: 4 _ Call 5 . y 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.