10920 SW PARK STREET 10920 SW PAOK STREI�,T
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l0>2o S.W. Parx Permit No. 1534
_ Permit charge:
Owner _ Connection fee 400 •jo
Paid by Laurel Homrs
Type of building Residence Date connected_____ 11-1)_71
Service rate 3.00 per month Inspection fee_ 25.00
Contr.actov "aurel Homes _ Paid by game Date
Size of _o nn e c t i.o n 4 Assessment--- ——Paid—
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WIN A
PERMIT TO CONNECT
Tigard, Sanitary District
PERMIT N9 1538 HATH: _
PERMIT 19 GIVEN TO
OF
TO CONVECT A
TO TAE SYSTEM OF TIGARD SANITARY DISTRICT
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THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION 19 MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID $....._.........................._TIGARD SANITARY DISTRICT
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CONNF.C'TIO7' INSPECTED ?*a) APPR3VF.D
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Date Superintendent