11740 SW KATHERINE STREET-1 11.7401 SW K11.HFRINE.
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PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N? 1155 DATE
PERMIT IS GIVEN TO
OF
TO luorWARU'r A
TO THE SYSTEM CE TIGARD SANITARY DISTRICT
AT -7 Al 0
THIS PERMIT MUST BE POSTED' ON THE DESCRIb:1)PREM;SFS UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTIGN HAS BEEN COM-
PLETED.
PFAMIT FEE P.JD $.... ............................TIGARD SANITARY DIST11CT
By
P
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CONNECTION INSPECTED AND APPROVED
Date Superintene-,nt
WdressIL24A" '' Permit
_ Permit charge--A =
)caner Connection fee ...�
Paid
'ype o" Building_ __— Date connected
Service Rate_,______.__ Inspection fee__/Q
:ontractor Paid by _ _ Date
Size of Gonne^..tion ~ Assessment
._._� Asst.