14580 SW 88TH AVENUE-1 ra
14580 SW 88TH AVENUE _
1
L
00
00
N
00
Ln
y
y
PERMIT TO CONNECT
Tigard Sanitar-, District
PERMIT N° 1.050 ��� �1`_��' (v .,7 _
PERMIT IS GIVEN TO A ,/I /4_►�i � AC _——_---
OF — -- _� ------- —_- _
TO CONNE-,T A ic�,--- ~ _-- ------—------- -----
TO
---TO THE ST STEM OF TIGARB SA U A,RY DISTRICT
O w s-lw .LTJ rr w.
AT 4 p r l (r
THIS PERMIT MUST BE POSTED ON WE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION MAS BEEN COM-
PLETED.
L'
PERMIT FEE PAID .:''"....................TIGARD SANITARY DISTRICT
S --
7
CONNECTION INSPECTED AND APPROVED
--------- Date___- - gnpertntendent
I
i
I
I
Address/14 S'PO �'d Y .__ Permit r'o.
Name of Occupant__ Permit charge 2
Connection fee
Paid by
Date connected
' Type of Building ��+ _ Inspection fee /O —
Service 10te__ _ Paid by _ Date
Contractor Assessment Paid_
a
Size of connection_ .