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12482 SW BROOK COURT �1�
7
Address 1„uc,2 S.W. Brook Ct._— Permit No . 15Q, „y •_
r Permit charge__,_,___,_
Owner. Connection fee 375.00
Paid by__J•A, pat rson
Type of building residence Date connected M_ 10_15-11
3.00 per montn 25_00
Service rate 3.00 f,=.e
Contractoi J.A. katerson r_ Paid by "Mg._�_—Date
Size of connection 4 _ As^ s sine nt__,_._______Paid
_
FIMMIT TO CONNECT (�
Tigard Sanitary District
PERMIT N9 1502 DATE
PERMIT 1S GIVEN TO
OF
TO CONNECT A I'
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED ON TIIR DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT VEE PAID $.....�....?.A:..................TIGARD SANITARY DISTRICT
BY
rwtiv.Mwiv
i
CONNEI TION INSPECTED AND APPROVED
Date ——_— — -- -- -Supetint•n eent —