7410 SW CHERRY DRIVE 1
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7410 SW CHERRY DRIVE
SEWER PERMIT NV 28470
U ,
Unified Sewerage Agency CITY OF [)ATL �� 2� :3�
of Washington County ! --- —'
•C 0 W N E F.
OWNER' S ADDRESS : �_
TYPE OF INSTALLATION :
El BUILDING SEWER ❑ LINE TAP AND BUILD?NG SEWER ❑ LINE TAP
"FYPE OF OCCUPANCY :
❑ NEW EXISTING SINGLE FAMILY ❑ COMMERCIAL
t ❑ MOLT. RES. / ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS
&
ADDRESS O1= STRUCTURE : _ / /0 —
Permit Conditions: The applicant agrees to comply with all rules and regulati of the Unified
Sewerage Agency. When calling for an inspection, please refer to the Permit Number. The Permit
expires one hundred twenty (,.J) days from the date of issuance. The total amount paid (permit
fee, connection charge, line tap fee find/or other charge) will be forfeited ;f the permit expires.
The Agency does not guarantee the accuracy of the location of side sewer lat?rals. If the sewer
is not located at the measurement given, the installer shall prospect three feet in all direct )ns
rrom the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer"
Permit dt the current charge and the Agency will install a lateral.
FEES:
PERMIT FEF s_ e—'
CONNECTION CHARGE
LINE TAP INSTALLATI9N
ISSUED BY
). OTHER
TOTAL -�---
"'l
s
AP'HL ICANT DATE
-� SEWER PERA.1IT N" 28470
ADDRESS CP 51 RUCTURE _�- _ — -------
QUARTEF
TAX MAP __ _ � ' � � �' 1 – SECTION --—
LOT — BLOCK ___ OF _
APPROVED BY DATE ISSUED BY (IATF OF ISSUANCE
D, U, ' S _ R L M A R K S -----
I
INW--CTION NkITICE
City of Tigard building Departme .t {
12420 S.W. Main S;.
Tigard,Oregon 97123
Phone: 639 1171
Type of Inspection --
Date Requested . �/ Time _A.M._ P.M.
Address �!_ ` Permit _—
Owner - --- ---- Lot # ----- --
BuilderThe following Huil6ing Code deficiencies are required to he corrected:
--__
Presented ,n —__--__ Approved
Inspectnl �_-- __ I_� Disapproved ,
Dnte
CAI L FOR REINSPECTION
❑ YES ❑ NO