13295 SW 110TH AVENUE KWIWIN
13%'y.5 SW 1101E'. AVLNUE
PERMIT TO CONNECT
Tigard Sanitary District oaf z
PEIMIT N" 16( 4 DATE j ~}' -7
1 i
PFRMIT IS GIVEN TO j _ i__ ,�L�► _ E
f
OF
TO CONNECT A . ��--- ---- - ----TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST RE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION I5 51ADE AND INSPECTION CF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID ....................TIGARD SANITARY DISTRICT
By_._�_.._.�_
',(L�'r
CONWCCION INSPECTED AND APPROVED
Date 8uperi,stendent
1S.W. Permit No,
Address 395 S.W110th - —
lPerrit chart
Carney sr�.... 4. -- - �� Connection fee 4+ ,
Paid by Edwards J_n.dustri.es
Type of building � adeiice _-- Date connected — 6'13-72
Service rate - Inspection fee �:8�o�
Contractorliojl",y.,jomea_ Inc._ Paid by E(jw'urds Indust
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Size of connection411 Ask a�eement Paid
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