11995 SW BURLHEIGHTS STREET-1 s
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11995 SW BURLHEIGHTS, STREET
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*e C Permit No.
Addrew
Jame of C)c.cupant Permit charge
Co-anection
pe: * "Y------
Date connected
Type ol Inspection fee
Servif- Rate Paid by -------Date_-
C,)ntractor Assesisment.---Paid-
Size of connecti011
PERMIT TO CONFECT
Tigara Sanitary District
PERMIT M 1024 I)ATE -
PHIMIT 1s GIVEm TO -- ---
OFTO CONNECT A ----TO THE SYSTEM OF TIGARD SANTYART DISTRICT
AT
THIS PERMIT MUST HE POSTED ON THE DESCRIBED PREMISES TJNTIL CONT-
NECTION IS MME AND INSPECTION OF CONNECTION PIAS BEEN COM-
PLETED.
PERMIT FEE PAID .......... BANITARY DISTRICT
CONNEC'T'ION INSPECTED AND APPROVED
Supsrintendent