9535 SW COMMERCIAL STREET �o
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9535 SW COMMERCIAL STREET �o�'
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Address 9 Permit No. �
Name of Occupant , ,'4,i Permit charge_ C4�'
Paid by -&er, e- t_e
Date connected - 3� — G
Type of Building _�t�i l��---- In"Chon fes L2le
____
Service Rate_ r" _ Paid by
Contractor _ Assessment AL4
Size of connection
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APPLICATION FOR SEWER SERVICE
The undersigned agrees, in consideration of the setter service connection by tLe
Tigard Sanitary District, to abide by and comply with the ordinances, regulations and rules of the Dist-
rict presently in effect or hereirafter 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. 22.4.220.
Connections to the D'istrict's system must be made by bonded contractors and/or
bonced and licensed plumbers.
Owner
APPROVED BY
Superintendent
TIGARD SANITARY DISTRICT
8841 S. W. Commercial St.
:'igard, Oregon
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PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N° 654 PAT'S
PERMIT IS GIVEN TO,.�t,_ ,r
TO CONNECT A
TO THE SYSTEM OF TiCARD SAN/TARP DISTRICT
AT
THIS PERMIT MUST RE POSTED ON THE DESCRIBED PREMISES UNTi' COW
NECTION 19 MADE, AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID $...................................TIGARD SANITARY DISTRICT
By
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CONNEC"PION INSPECTED AND APPROVED
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