Permit CITY OF TIGARD SEWER CONNECTION PERMIT
n
11.. COMMUNITY DEVELOPMENT Permit#: SWR2015-00061
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/06/2015
Parcel: 2S103BB06100
Jurisdiction: Tigard
Site address: 12588 SW 124TH AVE
Project: English Hayes Partition Subdivision: BROOKWAY Lot: 61
Project Description: New SF.
Contractor: Owner: WESTWOOD HOMES LLC
12700 NW CORNELL RD
PORTLAND, OR 97229
PHONE
PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 07/06/2015 $4,900.00
Sewer Inspection-Residential 07/06/2015 $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 $4,935.00
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 sus e -for . - the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the • ='.on Utility Notification
Center. ose rules are set •rth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of t - les or direct question
to OU by callin. 503.232.198 r 1.:00.332.2344. /
I ued By: �/; I / Permittee Signature: /
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.