11860 SW NORTH DAKOTA STREET 11860 SW NORTH DAKOTA STREET
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Permit No.
Name of Occupant___ i Permit charge .4
-onnection fee
Paid by
Date connected eq
Type of Buil 4ing Inspection fee-/to
Ser--ice Paid by Date
Contractor
Assessment Paid
Size of connection
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PERMIT tb dbNNECT
Tigard Sanitary District
PERMIT No 1009 DATE �
TERMIT IA GIVEN TO
OF
TO CONNEvr A
TO THE SYSTEM OFTIGARD SANITARY DISTRICT
AT ,
THIS .PERMIT W IST BE POSTED ON THR DESCRIBED PREMISES UNTIL CON-
NECTION IS MAD'v AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID �.._..............................TIGARD SANITARY DISTPICT
y� rye
By
CONNECTION INSPECTED AND APPROVED
- ----- - - --- —
Dnte� Superintendent