13155 SW ASH DRIVE an
W +
9
a
K
1
I
i
I
a
131 i`i W T, li IA I VE
Add re-js dit). Permit No. 1.119
Permit charge
Owner, Zzit, Connection fee
't44="�
Paid by
Type of building Date connected
Servi(.c rate Inspection fee Ile
Contractor Paid by, —Date
Size of connection Assessment Paid
PTZ.RMIT TO CONNECT
Tigard Sanitary District 4?12, xg'
PERMIT N? 1 :6'7 DATE
11FRMY1 IS GIVEN TO
OF
TO CONNE( r
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS Pli,'RNIIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION TIAS BEEN COM-
PLETED,
PERMIT FEE PAID a_.. ...... ................. TIGARD SANITARY DISTRICT
BY
CONNECTION INSPECTED AND APPROVED
Date