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13495 SW CRESMER DRIVE
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Address 134y5 S.W. Cresm( r Permit No. 1579
Pe rmi.t charge_.__
Owner_ _ Richard C. Shirley_ Connection fFe4o0_00
Paid by_ C.B•_Shirley
Type of building_ Resiuence —_ _ Date connected3-8-72 _
Service rate 3.00 per month - _ Inspection fee___— 25•U0
Contractor C.B. Shirley r Paid by,.2-p- Shirley Datoy_—
Size of connection 4" Assessment Paid
PERMIT TO CONNECT
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Tigard Sanitary District
PERMIT V 1579 DATE
PERMIT IS LIVEN TO
OF _
TO CONNECT A !
TO THE SYSTEM OF TIOARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETFI).
PERMIT FEE PAID $_. .........................TIGARD SANITARY DISTRICT
By
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CONNECTION INSPECTED AND APPROVED
-- —-- Date- -- - —– Superintendent 1