Permit p CITY OF TIGARD SEWER CONNECTION PERMIT
s COMMUNITY DEVELOPMENT Permit#: SWR2014-00036
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/21/2014
Parcel: 2S 111 CA14900
Jurisdiction: Tigard
Site address: 9975 SW SATTLER ST
Project: McCobb Subdivision: ALDERBROOK FARM Lot: 7
Project Description: Connect existing house to sewer service,less than 100'.
Contractor: Owner: MCCOBB, JAMES E&MARILYN M
9975 SW SATTLER ST
PORTLAND, OR 97224
PHONE: PHONE: 503-515-2524
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 04/21/2014 $4,800.00
Sewer Inspection-Residential 04/21/2014 $35.00
Type of Use: SF
Class of Work: ALT
Install Type: Line Tap
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 :I •ays • ance, • if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules a...•ed by the Oregon Utility • 'cation
Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a co• • he rules or dire• •uestions
to OUNC by c 3.232.1987 or 1.800.332.2344.
Issued ( Permittee Signature: - L
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.