Permit (165) CITY OF TIGARD SEWER CONNECTION PERMIT
f COMMUNITY DEVELOPMENT Permit#: SWR2019-00260
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/27/2019
Parcel: 2S 104AD02801
Jurisdiction: Tigard
Site address: 12945 SW WALNUT ST
Project: BEELER Subdivision: None Lot: None
Project Description: Sewer connection for existing house. Septic tank to be pumped and filled.
Contractor: Owner: BEELER, BECKY
12945 SW WALNUT ST
TIGARD, OR 97223
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 08/27/2019 $5,800.00
Sewer Inspection-Residential 08/27/2019 $35.00
Type of Use: SF
Class of Work: ALT
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $5,835.00
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 w' .in 180 days of issuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules • ed by the Oregon Utility Notification
Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may .. - o. . •- es or direct questions
to OUNC by calling 503.232.1987 or 1.800.33 AA.
Issued By: —`�� Permittee Signature: ,
4 itii'503.6��3�99.441175 by 7:00 a.m.for the next available inspection da
This permit card shall be kept in a conspicuous place on the job site until comp tion of the project.
Approved plans are required on the job site at the time of each inspection.