10340 SW JOHNSON STREET-1 10340 SW JOHNSON STREET
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I'EFEMIT TO CONNE%'-.'OT
Tigard Sanitary District
PERMIT N9 732 DATE _~�
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VEPMIT IS GIVEN TO
OF ------------- --- - r;....
TO CONNECT A_._ ---
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT 6
THIS PERMIT MUST BE Yb,9D ON THE DERCRIBFD PREMISES UNTIL CON-
NECTION IS MADE AND IN8 CTION GN CONNFCTIO:Y HAS BEEN COM-
PLE7 ED. �.
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PERMIT FEE PAID ;..y...........................TIGARD SANI'T'ARY DISTRICT
By
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CONNECTION INSPECTED AND APPROVED
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' Permit No.
Name of Occupant_ Aw-v'rt) Permit charge
Connection fee
Paid by
Date connected
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Type^` BuAlding,� i S/D��/GE Inspection fee /n _
Service Rate << Paid by /�/ 0�'r' Date -3, h_3 .
Contractor.— _ o__ 114'c /�.�-_--__--- Assessment paid _
Size of connection