Permit (36) CITY OF TIGARD SEWER CONNECTION PERMIT
11,..„ . COMMUNITY DEVELOPMENT Permit#: SWR2018 00108
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/09/2018
Tt[at1 Parcel: 2S111AA12100
Jurisdiction: Tigard
Site address: 8915 SW INEZ ST
Project: Greensward South, Lot 15 Subdivision: GREENSWARD SOUTH Lot: 15
Project Description: Sewer connection for new SF.
Contractor: Owner: H&H HOMES LLC
19305 SUNCREST DR
WEST LINN, OR 97068
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 05/09/2018 $5,500.00
Sewer Inspection-Residential 05/09/2018 $35.00
Type of Use: SF
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
•
55
Total $5,535.00
Required Items and Reports(Conditions)
1
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialtyand all oth-j applicable
lies
law. All work will be done in accordance with approved plans. This permit will expire if work is not started w' '.i 180 days of is- ance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted sy the Oregon Utili Notification
Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a cop o the rule- or .i'-ct questions
to OUNC by calling 503.232.1987 or 1.800.332.2344.
d
Issued By: .- - Permittee Signature: `r
II
..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.