10470 SW JOHNSON COURT 10470 SW JOHNSON COURT
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PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N? 757 DATE`'
PERMIT IS GIVEN Tj M44444,_
OF 19v sr -
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
10"170
AT Aeo
THIS PERMIT MUST BE OSTED ON THE DESCRIBED PREMISES UNT:%CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID ;a.................................. TI�YL'T
CONNECTION INSPECTED AND APPROVED
—__ Superintendent-- __
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Address /05". 'POK' 'J671AjJo,c/ ��. Permit No, 7-:r,7
Name of Occupant 'Cv ENE D. klA,P '
„� _- Permit charge
-_ Connection fee
— ---- --- Paid by__14- 1"l
_-------------_._._�_�---_.__ -- Date connected
Type of Building /V;-"-S1,*e- e F _ Inspection fee
Service Nate y� `'-r
Paid by ..f��/�/�o r e Dats—&-A0 V
Contractor_- t ,n! 5 /l�o c t�
_ Assessment-_._-_____ Paid___
Size of connection