10335 SW JOHNSON STREET 10335 SW JOHNSON STREET
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PERMIT TO CONNECT
Tigard Sanitary District
PERMIT IV? 733 DATE - sr
PERMIT IS GIVEN TO
OF . . ..te.(, � V/ S r-,c�_ �, = cf r.^r✓�`�... _
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST i x POSTED ON THE DEACRIBE^ PREMISES UNTIL CON-
NECTION IS MADE A'itl ir,SPEC'fIoN ^x `' NTNCCTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID $.... .....TIGARD,RNITART DISTRICT
By
�AA.VrAiA.M/ J
C(,'NNECCI(l i INSPECTED AND APPROVED
�-d
s' u,', c l�t cti. 7 � 1.>
Address ��'..� �' '� � _ Permit No.
Name of Occupant_ ���isJn 77 Permit. charge
ConneCA n fee ? e ,
—. --- ------- — Paid by A.v?G s Zlell// .�c —
Date connected_ ' 3c ,
7V er
Type of Building_„_ O`I�t qal« Inspection fee /A
Service Rate
Paid by Jff//��o(/c Date
Conti, ctor .1.. ��� �'� Assessment Paid
Sue of connection
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