9795 SW MURDOCK STREET MLT
9 795 Svd MURDOCK STREET
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Ore,)on 97223
�1 hone: 639-4175
Type of Inspection/ __ n b" ed-t-liP -
Date Requested Sd�' Time A.M.
Address -1 `'7 �1 L�� ( �� Permit
Owner _._ Lot # _
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector L..t Disapproved
Date
A L n INSPECTION
❑ YES ❑ luo
i
�- SEWER PERMIT ��4s�
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4Unified Sewerage Agemi CITY OF Ticlard DATE June 16, 1987
of Washington County —
OWNER : R.N. Olsen ___ PHONES
OWNER' S ADDRESS: Star Route Box 101 Moro, OR 97039
TYPE OF INST:;i_I_ATION:
D BUILDING SEWER ❑ LINE TAP AND BUILDING SEWER ❑ LINE TAP
[Y-i-- OF OCCUPANCY :
❑ NEW F2 EXISTING ❑ SINGLE FAMILY ❑ COMMERI,IAL
❑ MULT. RES. LJ INDUSTRIAL
FIXTURE UNITS _ DWELLING UNITS
ADDRESS OF STRUCTURE : 9795 S.W. Murdock
Permit Conditions: The applicant agrees to comply with all rules and regulations of ;:he Unified
Sewerage Agency. When calling for an inspection, please refer, to tha Permit Number. The Permit
expires one hundred twenty (120) days from the date of issuance. The total amount paid (permit
fee, connection charge, line tap fee and/or other charge) will be forfeited if the permit. expires.
The Agency does not guarantee the accuracy of the location of side sewer laterals. If the sewer
is not located at the measurement given, the installer shall prospect three feet in all directions
from the distance given. if not so located, the installer shall purchase a "Tap and Side Sewer"
Permit at. the current charge and the Agency will install a lateral.
FEES:
PERMIT FEE 35.00 _
CONNECTION CHARGE 975.00_Y p
LINE TAP INSTALLATION
ISSUED BY
OTHER
TOTAL s 1010.00 6/16/87
--- DATE OF I SSU h
10/14/87 _
APPLICANT DATE OF EXPIRATION
SEINER PERMIT
ADDRESS OF STRUCTURE 9795 S.W. MuLdock
N -- — _ T;
TAX MAP 2S1 11BC TAX LOT 3300 QUARTE
-- SECT IC N 11
LOT 15 BLOCK - _ OF Cloud Cap
APPROVED BY Y DATE ISSUED BY M DATE OF ISSUANCE
D . U. ' S _ 1 REMARKS _ Min. 4" pipe Septic tank must be_42 m
Inspoct.ion rcqu±_red.