Permit (122) CITY OF TIGARD SEWER CONNECTION PERMIT
.11114 1
` COMMUNITY DEVELOPMENT Permit#: SWR2017-00223
Tri A I?i) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/24/2017
Parcel: 2S110AC00200
41 Jurisdiction: Tigard
Site address: 10964 SW ANNAND HILL CT (/ w
Project: Annand Heights,Lot 27 Subdivision: None Lot: None
Project Description: Sewer connection new Model home Annand Heights on proposed lot 27.8/17/17 Demo credits applied from
BUP2016-00201.3/26/18:REPRINT to change address.
Contractor: Owner: ANNAND HILL LLC
BY RICHARDS, M DALE
12655 SW NORTH DAKOTA ST
TIGARD, OR 97223
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: 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 $35.00
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: c '
Vt�
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
. ' COMMUNITY DEVELOPMENT Permit#: SWR2017-00223
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/24/2017
T[CI'[A g Parcel: 2S 110AC00200
Jurisdiction: Tigard
Site address: 10964 SW ANNAND CT
Project: Annand Heights, Lot 27 Subdivision: None Lot: None
Project Description: Sewer connection for new Model home for Annand Heights subdivision,located on proposed lot 27. 8/17/17 Demo
credits applied from BUP2016-00201.
Contractor: Owner: ANNAND HILL LLC
BY RICHARDS, M DALE
12655 SW NORTH DAKOTA ST
TIGARD, OR 97223
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics:, 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 $35.00
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 03. .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.