Permit (111) CITY OF TIGARD SEWER CONNECTION PERMIT
111-1 COMMUNITY DEVELOPMENT r it f,' ?,. Permit#: SWR2017-00246
T i A i:.i 13125 SW Hall Blvd.,Tigard OR 97223 503.718.243 Oli
�"1a. ' • Date Issued: 08/24/2017
Parcel: 2S110AC00200
,, . Jurisdiction: Tigard
Site address: 10982 SW ANNAND HILL CT
Project: Annand Heights,Lot 25 Subdivision: ANNAND HILL SUBDIVISION Lot:
Project Description: Sewer connection for new SF. 3/26/18:REPRINT to change address.
Contractor: Owner: ANNAND HILL LLC
BY RICHARDS, M DALE
12655 SW NORTH DAKOTA ST
TIGARD, OR 97223
PHONE: PHONE: 503-780-4375
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 08/24/2017 $5,500.00
Sewer Inspection-Residential 08/24/2017 $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 $5,535.00
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 adopted by the Oregon Utility Notification
Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions
to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: lie.,4 Permittee Signature: 5C� �, /G -Gcr�
/ Call 503.639.4175 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.
CITY OF TIGARD SEWER CONNECTION PERMIT
1r . ' COMMUNITY DEVELOPMENT Permit#: SWR2017 00246
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/24/2017
T( '"�p'i g Parcel: 2S 110AC00200
Jurisdiction: Tigard
Site address: 10982 SW ANNAND CT
Project: Annand Heights,Lot 25 Subdivision: ANNAND HILL SUBDIVISION Lot:
Project Description: Sewer connection for new SF.
Contractor: Owner: ANNAND HILL LLC
BY RICHARDS, M DALE
12655 SW NORTH DAKOTA ST
TIGARD, OR 97223
PHONE: PHONE: 503-780-4375
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 08/24/2017 $5,500.00
Sewer Inspection-Residential 08/24/2017 $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 $5,535.00
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 adopted by the Oregon Utility Notification
Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions
to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature
Call• .639.4175 by 7:00 a.m.for the nex .i able in-•• tion 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.