10620 SW DEL MONTE DRIVE a
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10620, 10630, 1OF40, 10650, h 10660
SW DEL—MONTE DR1oE
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AddressiG�, c �' "V19 su- C; ��ermit No.
Permit charge
Owner Connect 4 on, fee a, )r
Peld ;y
Type of building '? Date connected C)
Service rate �� ' :".too n [nsPAction fee 3 �i.__.__...
date
C:o�ltractor _.�,�.. ���il�,.,,.,, Paid by •,�_ ..._._
S A l e of connection '' Assessment p a i d
PERMIT TO CONNECT lye"
Tigard Sanitary District qt,
PERMIT ? 151�. ,►�rE
X
PFRMIT IS GIVEN TO.
OF
I T
TO CONNECT A --
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED ON THE DF`.iC'RIBFD PREMISES UNTIL CUTQ-
NECTION IS MADE AND INSPECTION O: CONNEG'TION HAS BEEN COM-
PLETED.
PERt111T FEE PAID $................. TIGARD SANITARY DISTRICT
By
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CONNECTION INSPECTED AND APPROVED
-"-- Date—J Superintendent i