11140 SW 95TH AVENUE M-My
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__14 PERMIT NO.
PERMIT CHARGE none
OWNER CONNECTION FEE
PAID BY x � �•G��r.� _. _.
TYPE OF :,6;LOING ,�' DATE CONN7CTED
SERVICE "",'E INSPECTION FEE ,
CONTRACTORPAID 0Y DATE
SIZE OF CONNECTION _ ASSESSMENT PAID
2, ` /9-0
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UNIFIED SEWERAGE AGENCY NO. 10659
WASHINGTON COUNTY DATE 9-3n-76
CITY OF T�9arr1
APPLICATION FOR SEWER CONNECTION PFRMI'T
OWN E
OWNER'S ADDRESS:
--_-
SMEET
21P
BUILDING SITE: BLOCK ADDITION 212a
TAX LOT NO. TYPE OF OCCUPANCY residenc3'
ADDRESS —
-a--
DWELLING UNITS-- FIXTURE UNITS
SURCHARGE IF APPL,CABLE
PERMIT F=E -575!-0,0--_ INSPECTION FEE 2-900 TOT-AL DEPOSITED --AQO,I.Qg
- ---
. NEW) (':-XISTING) BUILDING SEWER SYSTEM Fpnq-qCrook
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
10
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SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE --.---------- IN7jTALI-ER
RECEIVED BY J.t
A
(AGENCY OR ITS AGENT F--
COMMENTS:
This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
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Unified Sewerage Agency of Washington County
150 N. First Avenue
Hillsboro, Oregon 97123
503 648-8621
January 18 , 1980
Randy Stevens +U
City of Tigard
12420 SW Main
Tigard, Oregon 97223 "' '` "-" r f 8U
Dear Randy:
I have discussed the sewer service billing problems we discovered
on SW 95th Avenue in Tigard with Tom Blankenship who is in charge
of administering the Agency' s contracts with our various member
cities . Since the homes I discussed with you are all located
within Tigard city limits , Mr. Blankenship would like City of
Tigard to do the sewer service billing for all the properties
involved.
Iam providing you with a list of all the properties in dispute
and with the most current owner information we have for them.
In the case of properties that have been billed in the past by
U. S .A. or not billed at all , I have indicated that billing by
City of Tigard should begin as of 7/1/80 . U. S .A. will send a
letter to the property owners explaining the change in billing
procedure that will occur on 7/1/80 and will handle billing and
collection of sewer service charges for the properties through
June 1980 .
Please let me know if you have any questions or encounter prob-
lems with this transfer of billing responsibility to the City.
In the future, we hope to initiate a uniform procedure For
correcting the billing jurisdiction for annexed properties and
preventing situations like the one on SW 95th from occurring.
Sincerely,
Sally Starbuck
Chief Bookkeeper
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Unified Sewerage Agency of Washington County
150 N. First Avenue
Hillsboro, Oregon 97123
503 646-8621
January 18, 1j20
I
William I . Bryant
11140 SW 95th Avenue
Tigard, Oregon 97223
Dear Mr. Bryant :
It has recently been discovered that although your home was
connected to the sewer system in September 1976 and sewer
service charges for the property should have begun in April
1977 , through clerical error , an account for your home was
never set up on OUr billing system.
Since this mistake was clearly the Agency' s error, no back
charges for sewer service through December 1979 will be made;
however, we have now established an account for you and
starting with the month of January 1980 , you will be charged
a fee of $6 . 00 per month For use of the sewer service system.
The enclosed invoice which includes our billing service fees
for the months of January through June 1980 , should be paid
directly to the Unified Sewerage Agency. Then , as of July
1 , 1980, your account will be turned over to the City of Tigard
and your sewer service billings starting with that month will
be sent to you directly by the City--I believe it is their
policy to bill sewer service in quarterly installments. You
should contact Randy Stevens at the City of Tigard if any change
occurs in the ownership of the property or in your mailing
address prior to July 1st .
Please call me if you have any questions about the invoice I
have sent you or about sewer service charges for ;your home .
Sincerely,
Sally F. Starbuck
Chief Bookkeeper
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cc *. Randy Stevens
City of Tigard
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1: Building Address ................. Q SW QSth ............ . ... ..... .. ...... .
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Certificate is hereby given this...15...... .day of....March................. 19.._..7.7
that said building may be occupied and
r that it complies with all requirements of j
the Building Code for the City of Tigard, ,Q
as approved by the Tigard City Council. )
J i•� /� Building Inspector
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City of Tigard
VONSPECTION REOUEST
for
INSPECTION TIME : y' PERMIT NO. : ---
DATE:
O. : _..__DATE: 77 DAT ISSUED-.
OWNERS NAME .* G V_)_lXs-S _
ADDRESS ::Z& ��'? ` S � LAI AC
CONTRACTOR
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ITEST: Air ❑, Wuter Li , Visual gl Laboratory ❑
RESULT: Approved , Disapproved ❑ , Pending J
SKETCH:
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�NnTE AItnc'i 5uppiemerta feet do!o hereto
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Cit of Tigard
City � d
INSPECTION REQUEST d
for
INSPECTION TIME: _ PERMIT NO. :-
DATE. / /1K/ 77 DATE ISSUED :_--L-L_ I
OWNERS NAME :_-,��A-y
ADDRESS:
CONTRACTOR
rEST : Air ❑, Water[] Visual . Lab�raw I
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RESULT. Approved L , Diaepproved Fending p 1
SKETCH:
5v 1,4, -
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INSPECTOR DATE
[OTE, Attach eupplementol toket data bereto]
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INSPECTION PELT J REQUEST
for �
INSPECTION TIME: YL _ PERMIT NO. :—
DATE :
O. :_DATE : P1176 DATE ISS ED :-
OW N E RS
D :_OWNERS NAME : _��`� �•'SS _ P L"-& I
ADDRESS: y����iyv� S_ r_F
CONTRACTOR :
TEST : Air C], Water rJ , visual (, Labnrotovy ❑
RESULT. Approved Disapproved C Pending ❑
SKETCH.
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INSPECTOR DATE I
NOTE: Attach supplemental test data beret's
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MY of Tigard
INSPECTION REQUEST �
for
INSPECTION TIME:"()A_/' '� " PERMIT NO. :_ I
DATE: DATE ISSUED '--L
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OWNERS NAME 'w
ADDRESS: 6-
CONTRACTOR : .
TEST : Air ❑ Woter i
a., Visual (�-;Labnrotory 0
RESULT: Approved 1� , Disapproved C Pending ❑ �
SKETCH:
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LN07F Attach fuPPIOmOntal teff datn bereto� I
UNIFIED SEOJERAGE AGI;: NcfY' NO 10659
W:`.SH I NGTON COUNTY DATE
CITY OF _ Ti
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: .- -__..L- -Ar,#A"i-
OWNER'S ADDRESS:
STREET
--------------.. - -
--STATE ------ -
CITU Zlp
BUILDING SITE: LOT_ BLOCK ________ __ ADDITION _
TAX LOT NO. /7 _ TYPE OF OCCUPANCY _______ residence _
ADDRESS$ 5W 95th
DWELLING UNITS -__ - 1111, 1 .- -,- .___________ FIXTURE UNITS
SURCHARGE IF APPLICABLE _--.-.---__-_-
PERMIT FEE 575. 00 _ _ INSPECTION FEE 25!00 TOTAL DEPOSITED _--6,00. 00-
(NEW) (EXISTING) BUILDING SEWER SYSTEM ____KKNNNX Fanoo Creek
The Applicant agrees to comply with all rules and r gulations of the Unified Sewerage Agency.
APPLICAN
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM
I INE SIZE __ INSTALLER
RECEIVED BY- - .__-.. -C-Q-2L�t-�'
(AC;ENCY OR IT5 AGE
UUMML NTS: _81 9 1100
--This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should ex;.:irrtion occur.
wow—
BUILDING PERMIT APPLICATION CI Y TICARD DATE_1"3fi"7Z1 t 4 n
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF
O
OWNER Ladd Aronoti JOB ADDRESS // "`I 95th HOME ADDRESS LOT NO.
ARCHITECT
rl '+ss ur.su ENGINEER
BUILDER
1 ADDRESS DESIGNER
STRUCTURE 1;_7NEW ❑REMODEL— ❑ADDITION ❑REPAIR _ ❑RENEWAL _❑FIRE DAMAGE_❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL OGOV'T ❑RELIGIOUS❑PATIO ❑C.1Rf'OFRr ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE--"::l BLDG_TYPE Jf_� FIRE ZONE___ PLAN CHECK 13Y—L r HEAT-_- `
-- u17.. t. >in';018 f.ar ily dtrellinQ u/Attact aij gbazaqu, 5ugomct to approved
deigns 3 bedroom 2 balttli gorage 519 sq.rt,
OCG LOAD _--tl,OQN LOAD . ___HEj_Q_HT—------AQ,,;TORIE$ _AREAIU=_NO.BEDROOMS 3 VALUE2Ga4:)�
BUILDING DEPARTMENT SET BACKS FRONT 2L� REAF Q _ LEFT SIDE 10 RIGHT SIDE 10
s
Permit 124,00 — — .— _ - --- — —
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10.;90 REGULATIONS AND AL1. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CON TRJCTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 4.02 LICENSE. SEPARATE PE14MITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 138.02
By
---�_ APPLICANT OR Art N f —�-- —-----
Approved Receipt No
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