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10545 SW DEL-MDNTE DRIVE
Address 10541 3,Vi, Del Morte Permit No,
'wner: F< ul i.'Ic. ry Permit charge
31 .1-
Owner. Calway 'Id.il Connection fee 4UO.UU
12705 6. W, P,1ci.:i c fiw1 . Pai :i by.�3t, r� LdkirjZw-�s�_
i i ~ard , Ore,,Ton 97223
Type of building ae s, Date connec ted•__ L_?_lU)l
Service rate y,0j Inspection fee
Contractor ;tar: .Wki � Paid by� p Date
Size of connection Assessment_ Paid________
PERMIT TO CONNECT 4,1
Tigard Sanitary District. ! `► `�`�L
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PFRMI'T N9 1512 � DATB ;;� i � - 7/
PERMIT Is GIVEN T0�1W!
OF
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TO CONNECT A 5► ,
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
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THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISCS UNTIL CON-
NECTION IS MADE AND INSPECTION OF CG-NNECTION HAS BEEN COM-
PLETED.
PERMIT FEE ?ID
�.- �....�...:.... ...r,..........'fIGARD SANITARY DISTRICT
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CONNECTION INSPECTED AND APPROVFD
Date Superintendent