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Permit (98) CITY OF TIGARD SEWER CONNECTION PERMIT *' COMMUNITY DEVELOPMENT Permit#: SWR2017-00041 and OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 12/19/2017 RD9 Parcel: 1S136AC00400 Jurisdiction: Tigard Site address: 10595 SW 71ST AVE Project: Anderson Subdivision: METZGER ACRE TRACTS Lot: 5 Project Description: 1 EDU increase for 2 additional bedrooms over 5 bedrooms,for a total of 7 bedrooms. Contractor: Owner: ANDERSON, DENNISE 10595 SW 71ST AVE TIGARD, OR 97223 PHONE: PHONE: 503-884-0471 FAX: FEES Description Date Amount Specifics: Sewer Connection Fee 12/19/2017 $5,300.00 Type of Use: SF Class of Work: ALT Install Type: Building Sewer Fixture Units: Number of Dwelling Units: 1 Total $5,300.00 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: IMP Permittee Signature: Call 03.639.4175 by 7:00 a.m.for the next available inspecti 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.