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12545 SW BELL COURT
Address Permit No .
Permit 0-,arge
Owner-4, L. Z Connection fee-
Paid by
Type of building_ Date connected
Service rate Inspection fee_
Contractor Paid by_-.--
Size of connection Assessment–---- e.Paid----
PERMIT TO CONNECT q7
Tigard Sanitary District
PERMIT N9 1237 DATE
PERMIT IS Gl'*:FN TO t-/
OF
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
L
AT
THIS PERMIT MUST BF POSTED ON THE DESCRUIEn PRFMTSES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID .....TIGARD SANITARY DISTRICT
7T
-757
CONNECTION INSPECTED AND APPROVED
Date Superintendent