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9455 SW CENTER STREET
PERMIT TO CONNECT
Tigead Sanitary District
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PERMIT Nv 71
PERMIT IA GIVEN TO
TO CONNECT A. -.cs-�-
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT '- ------ ——— -- ..l- p A•�a (-, ISL__.-
TATS PERMIT MUST BE PJSTED ON THE DESCRIBED PRFMISF9 UNTIE.CON-
NECTION WE MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
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PERMIT FEE PAID ;.. __..... .....................TIGARD SANITARY DISTRICT
CONNECTION INSPECTFI) AND APPROVED
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Add:en 1ry-�-7 ✓��• 1J�"'�' Permit No.
Name of Occupant__ _ Permit charge
Connection fee
Paid by
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-._ -_-- ---- Date connected
Type of Building II -, Inspection fee
Service Rate 1 Paid by
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Contractor t AY _. Assessment Paid �_—_--
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Size of cor.nection
APPLICATION FOR SEWER SERVICE
The undersigne.l agrees, in consideration of the sewer service connection uy 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-
posed from time to time when due and before such charges become delinquent.
I fully understand that all unpaid sewer service charges 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 bended contractors and/or
bonded and licensed plumbers. I'
APPROVED BY J���----
Superintendent
TIGARD SANITARY DISTRICT
8841 S. W. Commercial St.
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Tigard, Oregon ;
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