8985 SW COMMERCIAL STREET 00
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8985 SW COMMERCIAL STREET I
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Address _ ,5'� �(/ �G7?�- �.-ZWPermit No.
?lanae of Occupant______ � _ Permit
charge.__-- _
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Paid by --- 0
-- _. -_ ------------ -- Date connected
Type of Building Inspection fee______-___
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Service Rata Paid by
Contractor Assessment�l ref— +� �7 Paid
Size of connection `
APPLICATION FOR SEWER SERVICE
The undersigned agrees, in consideration of the sewer service connection by the
Tigard Sanitary District, to able by and comply with the ordinances, regulations and rules of the Dist-
rict presently in affect or hereinafter enacted and to pay sewer service charges as the same may be im•
posed from time to time when due and before such charges become delinquent.
I fully understand that all unpaid sewer service charges become a l:an upon the
property served as stipulated in O. R. S. 224.220.
Conr aciions to the District's system must be made by bonded contractors and/or
bonded and licensed plumbers.
--__------ Owner
APPROVED BY
Superintendent
TIGARD SANITAR l DISTRICT
8841 S. W. Commercial St.
Tigard, Oregon
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