11665 SW NORTH DAKOTA STREET 11665 SW NORTH DAKOTA STREET
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Address 11665 S.W. Dakota St. Permit No._}6QZ......
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Permit charge _—
Owner Fred K. Hahn Connection fee 4?o.x
Paid by
Type of building Res. Date connected-
Service rate X 3gQ(� i)er Tr.ct,th _ Inspection fee___; .pGL.._.__ _.._....,.
Contractor Fred K. Hahn Paid by Fred Hahn �,__Date.—
Size of connection_ 411 Assessment,_,
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PERMIT TO C r)NNECT W
Tigard Sanitary District
PERMIT N 9 16( 7 DATE
PFR311T 1S GIVEN TO
OF
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TO CONNECT A 'eY/l
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
TIAS PF.R,dIT MIST RE POSTED ON THE DI?SCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID =............,."`J� 1..........
IWARD SANITARY DISTRICT
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C'ONNFCTION INSPECTED AND APPROVFV
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