Permit (30) CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit#: SWR2017-00403
E) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/21/2017
Parcel: 1 S134DC13500
Jurisdiction: Tigard
Site address: 11438 SW SUZANNE AVE
Project: Mission Meadows,Lot 7 Subdivision: MISSION MEADOWS Lot: 7
Project Description: Sewer connection for New SF. 3/27/2018: REPRINT permit to show sewer connection fee paid(no sewer demo
credits available on this permit).
Contractor: Owner: MISSION HOMES NORTHWEST LLC
PO BOX 1689
LAKE OSWEGO, OR 97035
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Inspection-Residential 12/21/2017 $35.00
Type of Use: SF Sewer Connection Fee 03/27/2018 $5,500.00
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 503A1,2.1987 or 1.800.332.2344.
Issued By: �' �� Permittee Signature:
67/1/- '/4ielt-77a.�,�
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.
!T SEWER CONNECTION PERMIT
CITY OF TIGARD
Ic c27 , 4
`"' Permit#: SWR2017-00403
114
COMMUNITY DEVELOPMENT Date Issued: 12/21/2017
T t ra A f.L) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S134DC13500
Jurisdiction: Tigard
Site address: 11438 SW SUZANNE AVE
Project: Mission Meadows,Lot 7 Subdivision: MISSION MEADOWS Lot: 7
Project Description: Sewer connection for New SF. 3/27/2018: REPRINT permit to show sewer connection fee paid(no sewer demo
credits available on this permit).
Contractor: Owner: MISSION HOMES NORTHWEST LLC
PO BOX 1689
LAKE OSWEGO, OR 97035
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Inspection-Residential 12/21/2017 $35.00
Sewer Connection Fee 03/27/2018 $5,500.00
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 aXZ,
copy
of the rules or direct questions
to OUNC by calling 503.232.1987 or 1.800.332.2344.
Z�J
/
Issued By:.,e2"- - , / Permittee Signature: — c./
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 00403
Date Issued: 12/21/2017
T'GRD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1 S134DC13500
Jurisdiction: Tigard
Site address: 11438 SW SUZANNE AVE
Project: Mission Meadows,Lot 7 Subdivision: MISSION MEADOWS Lot: 7
Project Description: Sewer connection for New SF.
Contractor: Owner: MISSION HOMES NORTHWEST LLC
PO BOX 1689
LAKE OSWEGO, OR 97035
PHONE PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Inspection-Residential 12/21/2017 $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: 41ter-
33'
Call 503.639.4175 by 7:00 a.m.for the next available inspectio 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.