Permit CITY OF TIGARD SEWER CONNECTION PERMIT
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II. COMMUNITY DEVELOPMENT Permit#: SWR2014-00063
T[GA R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/15/2014
Parcel: 2S 109 DB06600
Jurisdiction: TIGARD
Site address: 13212 SW HAZELCREST WAY
Project: Sequoia Heights,Lot 14 Subdivision: SEQUOIA HEIGHTS Lot: 14
Project Description: Sewer connection for new SF
Contractor: Owner: LENNAR NW INC
11807 NE 99TH STREET SUITE 1170
VANCOUVER,WA 98682
PHONE: PHONE: 360-258-7900
FAX:
FEES
Description Date Amount
Specifics:, Sewer Connection Fee 07/14/2014 $4,800.00
Sewer Inspection-Residential 07/14/2014 $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 C es and all other applicable
law. All work will be done in accordance with approved plans. This permit will expire if work is not started wit n 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 = copy • the rules or direct questions
to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Perini • ture: 1/11�
Call 5 . 5 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.