11895 SW KATHERINE STREET-1 11895 SW KATHERINE STREET
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Address—LILY-) A1224u A Permit No. Ll�9`
Permit charge ey--
Owner�� A-1 _ s Connection fee
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Type of Building_-� Date connected
Service Rate Inspection fee1v_
Contractor_,
Paid byj, &_ _r __Date ' �b
Size of connection_ _� Assessrient Pair'
PERMIT TO CONNED We
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Tigard Sanitary District
PERMIT N? 1 Q 9 DATE
PERMIT IS GIVEN TO
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TO CONNECT A -------
TO THE SYSTEX ',F 'TIGARD SANITARY DISTRICT
AT
THIS PERMIT l:.'1.iST BE POSTED ON THE DE.ACRIBED "RFMISES UNTIL CON-
NEC'ION 19 lv jl.Pr AND INSPECTION OF CONNECTION ..A3 BEEN COM-
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PERMIT FEE PAID ..n. ..........................TIGARD SANITARY DISTRICT
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CONNECTION INSPECTED AND APPROVED