13445 SW VILLAGE GLENN DRIVE 13445 SW VILLAGE. GLENN DRIVE .�
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PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N° .1449 DATE __,} j�k 7
PERMIT IS GIVEN TO --
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OFTO CONNECT A ` ,_ — ---• _.__ _
TO THE SYSTEM OF TIC,ARD SANITARY DISTRICT
.IT 6+ltr
I HIS PERMIT MUST BE POSTED ON THE DESCR ED
PREMISHAS ES E IL
NECIION IS MADE ANTI INS711WTION OF CONNECTION
COM-
PLETED.
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PERMIT FEE PAID I.... ..... 7. '... ........TIGARD SANITARY moTRICT
All
CONNECTION INSPECTED AND APPROVED i
ate `— --�pe�tt►tet�erit
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Address 13445 S.W. Village Glenn Permit No�__ 1�
Permit charge____,__
Owner Connection fee _i 5.00
_.._ Paid by D.W.D.
Type of building Reg. _ _�_.. Date connected-------
Service
onnected—_--_—,Service rate Inspection fee 25.00
Contractor D.W.D. Paid by Date__ _
Size of connection 4" Assessment Paid
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