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Permit (19) CITY OF TIGARD SEWER CONNECTION PERMIT COMMUNITY DEVELOPMENT Permit#: SWR2016-00037 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/10/2016 TIG P g Parcel: 2S103AC09600 Jurisdiction: Tigard Site address: 11420 SW FONNER ST Project: Bean Partition,Lot 2 Subdivision: 2014-023 PARTITION PLAT Lot: 2 Project Description: New SF. 11 Contractor: Owner: LHL HOMES INC 11580 SW 67TH AVE PORTLAND, OR 97223 PHONE: PHONE: FAX: FEES Description Date Amount Specifics: Sewer Connection Fee 03/10/2016 $5,100.00 Sewer Inspection-Residential 03/10/2016 $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 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 obt ' a copy of the rules r direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: Call 503.639. — 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.