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10540, 1.0550, 10560, & 10570 "tool
r_ SW DEL—MONTE DRIVE
Address ^ Lg54Q_50_60_70 S.W. Del Monte Permit No, J-574
Permit charge
Owner Stan ,Aukins Connection fee i600
Paid by
Type of building 4 units Date connectci 3-7-7
Service rate 12.00 per month Inspection fee 35
Contractor Stan Adkins paid by .._ Dnte �..._.
Size of connection 4" Assessment v._._ Para
PERMIT TO CONNECT �
Tigard unitary District s`,•o..i-
PERIVIT N9 1574 DATE ,�_
- Z-
2-PERMIT IS GIVEN TO
' of 10 4'4 P - X& -k[? - 717,
ski
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
ATTHIS PERMIT MUST BE POSTED ON THY DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND IFSPECT10N OF CONNECTION HAS BEEN COM-
PL:?'rED.
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PF.R:IIT FEE PAID .."......TIGARD SANITARY DISTRICT
By._'
CONNECTION INSPECTED AND APPROVED
-— - .. ---Date Supe'rintea�erit —._- --rt/