8925 SW COMMERCIAL STREET 00
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8925 SW COMMERCIAL STREET
Address A
Permit No. 2Y
Name of Occupa--it______________ Permit charge
Jr LT
Paid by
Date connected r. .`.`—"'-c-
•�e�__v Inspection fee
Type of Building A"
Service Rate_ Paid by ---Date
Contractor__ Assessmpnt--- t?2_.CZ?Paici
Size of connection
APPLICATION FOR SEWER SERVICE
The undersigned agrees, in consideration of the sewer service connection by the
Tigard Sanitary District, to abide by and comply with the ordinances, regulations and rules of the Dist-
rict presently in effect or hereinafter enacted and to pay sewer service charges as the same may be im
poeed from time to time when due and before such charges become delinquent.
I fully understand that all unpaid sewer service chargra become a lien upon the
property served as stipulated in O. R. S. 224.220.
Connections to the District's system must be made by bonded contractors and/or
bonded and licensed plumbers.
-------- Owner �- --- ---- —
APPROVED BY
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Suparintendent
TIGAR.D SANITARY DISTRICT
8841 S. W. Commercial St.
Tigard, Oregon
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