15685 SW 72ND AVENUE rw f .
1-11685) SM -/;)ND AVENUK --
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Address li-- Permit No. .._.
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Permit charge 2; v i7 e-
Owner t I Connection fee
Type of buiid.ing �„.� „r�,� f�. L" Oate connected
Service rate ����4� Inspection fee
Contractor Paid by Date
Size of connection _ /assessment paid �_
UNIFIED SEWERAGE AGENCY
OF 3/4-/�
WASHINGTON COUNTY
ADMINISTRATION BUILDING-- 150 N. FIRST AVENUE
HILLSBORO, OREGON 97123
(503) 648-8621
BOARD OF COMMISSIONERS Joel Wesselman
MILLER M DURIS,Chairman General Manager
BILL BLOOM February 7 , 1978 Roam 302
VIHGINIA DAGG
RICHARD C. HEISLER
RAY MILLER
Ed Walden
City of Tigard
P .U. Box 23557
Tigard, Oregon 97223
Dear Ed :
RE : TERRACE HEIGHTS TRAILER PARK
The Agency has received the connection fee for the
above referenced project . It consists of 56 units
existing prior to July 1 , 1970 at a rate of $300 . 00
for a total of $16 ,800 . 00. The Agency has issued
the sewer nermit and is , therefore , remitting to
you twenty percent of the fee or $3 , 360. 00 . Also
enclosed please fine a copy of the Sewer Permit ,
No. 15625 .
Should you have any questions regarding this matter,
p-ease do not hesitate to contact me .
Very truly yours ,
Robert Cruz
Division Engineer.
RC :jb
Enclosures
e4llal-d Ir.,
SEWER PERMIT
:VY 156215
i
Unified Sewerage Agency / � ��-, f
of Washington County CITY OF ;//6f DATE 7
OWNER Sc,,,,, 4- t-/Lh .Eck C- �rans eort4JlOv\ Lei PHONE :
Qoom R.?I- N U0"ow S�-e 4-,o.1
OWNER 'S ADDRESS: 20Q A) ,LQ , (o A, pi-1aQ, Dr- 9 '� V "r
TYPE OF INSTALLATION: RTT•A) /Yl r Fors b'L
21UILDING SEWER ❑ BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
D NEW ❑ SINGLE FAMILY ❑ COMMERCIAL
[ EXIST. (PRIOR TO 7-1-70 ) aMULT. RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS
ADDRESS CF STRUCTURE : ----
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND
REGULATIONS OF THE UNIFIED SEWERAGE AGENCY. WHEN CALLING FOR INSPECTION,
PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION EXPIRES IN ONE-
HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD
EXPIRATION OCCUR. � ><� c � 4o
4o
se-rVIcI_;, CVu1-`7
FEES: `/
CS?-Cti�1t'�(.ir��
PERMIT FEE $_ C)o
CONNECTION CHARGE
SIDE SEWER INSTALLATION 1r�y
ISSUED BY
OTHER
TOTAL s_ /(o�, 9(oB.CP
APPLICANT DATE
SEWER PERMIT N° 15625
ADDRESS OF STRUCTURE r .S r!� SGtJ 7V_ P�_�
TAX MAP S I ) cy TAX LOT //O Q SYSTEM
LnT BLOCK OF Ti vraLr /lel 4/Y Tra► +la-L
APP VED BY DATE ISSUED BY DATE
D.U. 'S _ S t2 REMARKS