11725 SW 79TH AVENUE-1 11725 SW 79TH AVENUE —
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PEAMIT 'i U CONNECT
Tigaj d Sanitary District
PERMIT NQ 1041 DATE /e' ' a
PERMIT IS GIVEN TO
'O 'CONNECT A i
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST DE POSTED ON THE.DESCRIBED PREMISES UNTIL CON-
NEC"flON IS MADE AND INSPECTION Or, CONNECTION HAS BEEN COM-
PLETED,
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PERMIT EEE PAID a...; ,TIGARD SANITARY DISTRICT
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CONNECTION INSPECT. AND APPROVED
Date Superintendent
Address Z17
Permit No. 2 IL L
Name ct Occupant Permit charge
Connection fee--2-_\:D-
Paid
Date connected--,-/ ep 7
Type of Building__ Inspection fee--/
Servile Rate Pe id by
Contractor---.- ---- --- Assessment -Paid
Size of connection
-A