12520 SW KAREN STREET 12520 SW KAREN STREET
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ARMIT TO CONNECT
Tigard Sanitary District
PERMIT Nv 1583 D,1,^0
PERMIT IS GIVEN TO 1 �. 1.~
01,
l �+
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID .........:��:...,...............TIGARD BANITARY DISTRICT
CONNECTION INSPECTED AND APPROVED
- - --Date Superinten4eat
Address Karfm Perini ,. No , 1563
Pe-rmit
Owner • Yr.44,' Connectioo fee 1100
Pa,i d hy_.jjjg COn It.
Type of build Date connec-,,ed
Service rate 3.00 per month Inspection fse
Contractor 4110 CA=-to Paid by "am Date
Size of connection 0
A8sessment-----,-Paid