11650 SW NORTH DAKOTA STREET 11650 SW NROTH DAKOTA STREET
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PERMIT TO CONNECT '`,.1iv
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Tigard Sanitary District
PERMIT N° 1408 DATE
PERMIT IS GIVEN TO
OFTO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERU.' MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NEMION 18 MADE. AND INSPECTION OF CONNECTION HAS BEEN COM-
PLFTED.
PERMIT FEE PAID $.... ...�.....,....TIGARD SAN1: ►RT DISTRICT
By
CONNECTION INSPECTED AND APPROVED
Date — Supertntendent ----
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Addr.es //l�0 �` � .1/.� Permit No. -
Permit charge_��
Owner Connection fee 32�"oc�
Paid by
Type of building tea, Date connected
Service rate Inspection fee „V5°�
Contractor Paid by Date
SizF; of connection -��� Assessment Pa.Ld
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