Permit (24) CITY OF TIGARD SEWER CONNECTION PERMIT 1 COMMUNITY DEVELOPMENT Permit#: SWR2017-00189
TEGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/29/2017
Parcel: 2S111AA10700
Jurisdiction: Tigard
Site address: 8928 SW INEZ ST
Project: Greensward South,Lot 1 Subdivision: GREENSWARD SOUTH Lot: 1
Project Description: Sewer connection for new SF.
Contractor: Owner: FOUR D CONSTRUCTION
PO BOX 1577
BEAVERTON, OR 97075
PHONE: PHONE: 503-720-7445
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 06/29/2017 $5,300.00
Sewer Inspection-Residential 06/29/2017 $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 $5,335.00
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 -.pted b the Oregon Utility Notification
Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtai : a cop, .f the rules • direc .uestions
to OUNC by calling 503.232.1987 or 1.800.3 _ 44.
Issued By: / Permittee Signature:
/�
C. I •'3.639.4175 by 7:00 a.m.for the next available inspection 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.