10900 SW GAARDE STREET-1 OWN
10900 SW GAARL'E STREET
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ADDRESS �g;L�•a ;« .�` �_�cc _ PERMIT N O. 1 s o/ _. _..
PERMIT CHARGE none
OWNER CONNECTION FEE "
PAID BY
TYPE OF BUILDING - /� _ DATE CONNECTED
SERVICE RATE ��:� H -%" _ INSPECTION FEE _
r_ijNTf3,gCTOR L ,-� , PAID BY DATE
5I7F OF CONNECTION. 61, �. � ASSESSMENT PAID
PERMIT TO CONNECT
Tigard Sanitary District
PERMIT NO 1501 DATE
PER111Pf IS GIVEN TO --_y � —
TO CONNECT A -�
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST RE POSTED ON THE DF.9CRi FD PREMISES UNTIL CON.
NWTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN CW(j
PLETED.
PERMIT FEE PAID ;.LP., .�,�'.=.........TIGARD SANITARY DISTRICT
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'CW 'T17SN INSPECTED AND APPROVED A
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Date Buperintendent