Permit CITY OF TIGARD SEWER CONNECTION PERMIT
'It COMMUNITY DEVELOPMENT Permit#: SWR2015-00121
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/12/2015
TIGARD Parcel: 1 S136AA00201
Jurisdiction: Tigard
Site address: 10287 SW 67TH AVE
Project: Oak Street Estates,Lot 29 Subdivision: 2007-031 PARTITION PLAT Lot: 2
Project Description: Sewer connection for new SF
Contractor: Owner: LENNAR NORTHWEST INC
11870 NE 99TH ST, STE 1170
VANCOUVER, WA 98682
PHONE PHONE:
FAX:
FEES
Description Date Amount
Specifics:, Sewer Connection Fee 11/12/2015 $5,100.00
Sewer Inspection-Residential 11/12/2015 $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 $5,135.00
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes - = all other applicable
law. All work will be done in accordance with approved plans. This permit will expire if work is not started wi hin ?'. days if issuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules a•o•.,:*: •y - • +•on tility Notification
Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obta•• Tcopy of or direct questions
to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: �✓ �fie Permittee Signature:
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Call 503.639.4175 by 7:00 a.m.for the next available inspe• 'on 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.