9865 SW JOHNSON STREET 9865 SW JOHNSO.q STREET
1
a
0
y
O
In
3
to
Ln
�o
00
I
PERMIT TO CONNECT
City of Tigard
Permit Nq S 3 7 DATE_.
PERMIT IS GIVEN TO --- - - -- -
OF_-_
TO CONNECTTO THE SYST�E�MCIP CITY OP T16'A'PO
f� /� M
AT ! ib� k) -_ tom/-J:l��! --------
THIS
-------THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COMPLETED.
PERMIT FEE PAI: $ CITY OF AGARD
BY. — —— - --
COt VECTION INSPECTED ,AND APPROVED
I
Superintsnd"t
4
d
Emm
„T NNECT
Tigard Sanitary District
PERMIT N° 638 DATE
PERMIT IS GIVEN TOOF
TO CONNECT A
TO THE STSTEM OF TIGARD SANITART DISTRICT
THIS PERMIT MUST BE POSTED Q'N THE DESCRIBED PREMISES UNTII.CON-
NECTION IS MADE. AND INSPEC'MON OF CONNECTION HAA $R14N
PLETED.
PERMIT FEE PAW ................................. ..fIGAV.D SANITART 0181`dC't'
Ay
ti
IF �.ONNVCrt0i4 INSPECTED AND APPROVED
Date ndent
L oll, A
•
Tax Lot 2 SI 2 BA 1800 23-10 North Tigardville Addn
i
Assessment 939.$2 �v
Lateral 60.78 /
'000.60 �(
11-1-61 50.05
& SA thereafter
i
Address_ hermit No.
Name of Occupant--",-_YLt�!,A-h _ Permit charge..
Connection fee,_�0 ��4
----- - ---- Pad by_,44�_�
_-_ - Date ^onnectei _ e L4, t --- i
Type of Building_ Inspection fee
Service Rate 2_`� /�_ Paid by ` �.. _ -_Date -1
Contractor --_---- Asse sment /(.��,jZPaid
Size of connection
d
r