10055 SW GARRETT STREET 16-T LJ Ile
10055 SW GARRETT STREET
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Address Permit No. --/
Permit charge_ Z
Owner �-� Connection fee
--- __ Paid by---` - --
Type of Building uM it A pJ` ,� Date connected
Service Rate_�'� 9'7 8��/c.) P, Inspection fee A—
Contractor Paid by Date
Size of. connection-4
__ Assessment Fuad
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PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N? 1189 DATEZ
PERMIT IS GIVEN TO
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICTv A/T -
AT
THIS PEkMIT MUST RE POSTED ON THE DESCRIBED PREMIyEB UNTIL CON-
NECTII:N IS MADE AND INSPECTION U? CONNECTION HAS BEEN COM••
PGETED.
PERMIT FEE PAID .- 4,C
TIGARD SANITARY DI �R1C��_,
CONNECTION INSPECTED AND APPROVED
---- -- Date ---- - _ _ �_. 9upertntenent - -
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