Permit (197) 711CITYOF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit#: SWR2019-00006
[ ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/11/2019
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Parcel: 2S 112BD 13700
Jurisdiction: Tigard
Site address: 14797 SW 76TH AVE
Project: Elderberry Ridge, Lot 33 Subdivision: ELDERBERRY RIDGE Lot: 33
Project Description: Sewer connection for new SF.
Contractor: Owner: RIVERSIDE HOMES LLC
17933 NW EVERGREEN PL STE 370
BEAVERTON, OR 97006
PHONE: PHONE: 503-645-0986
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 03/11/2019 $5,650.00
Sewer Inspection-Residential 03/11/2019 $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 $5,685.00
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Speci- y Codes and all he, applicable
law. All work will be done in accordance with approved plans. This permit will expire if work is not startw thin 180 days if iss ance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adored .y the Oregr" Utili Notification
Center. Those rules are set forth in OAR 952-001-0010thr h OAR 952-001-0090. You may obtain co--y of the rul-s or • ect questions
to OUNC by calling 503.232 1987 or 1.800.332.2344.
Issued By: Permittee Signature:
Call . .4175 by 7:00 a.m.for the next available inspection dat .
This permit card shall be kept in a conspicuous place on the job site until completi• of the project.
Approved plans are required on the job site at the time of each inspection.