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Permit INCITY OF TIGARD SEWER CONNECTION PERMIT 3. . COMMUNITY DEVELOPMENT Permit#: SWR2019-00200 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/10/2020 T I G 1 R 0g Parcel: 2S112BD11300 Jurisdiction: Tigard Site address: 14934 SW BELVOIR CT Project: Elderberry Ridge,Lot 9 Subdivision: ELDERBERRY RIDGE Lot: 9 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 02/10/2020 $5,650.00 Sewer Inspection-Residential 02/10/2020 $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) n This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. S .alty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not st rt within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules a op ed by the Oregon Utility Notification Center. Those rules are s- forth in OAR 2-001-0010 thr ugh OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 .19'. •.800.332. 44. r Issued By: pi '„ Permittee Signature: �/ 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.