11685 SW 114TH PLACE i
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Address 11 j}5 g.w. 114th P?Ase Permit No._ 1616
Permit charge
Owner Al,an rStara02 Connection fee _ kw.nn
Paid by Allan Paterson
Type of building R _a_ Date connectedY
Service .rate Inspection fee p5-n
Contractor Allan Paterson Paid by swe __,Date
Size of connection 411 As sessment,__,—__ _Paid
PERMIT TO CONNECT
5
Tigard Sanitary District
PERMIT N? 1616 DATE
PF UMiT IS GIVEN TO l - ,• g oLd -rtr_
OF
TO CONNECT A
TO THE: SYSTEM OF TIOARD SANITARY DISTRICT
AT_ 1 I - , " . --i-L , / I � . i,
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID .......4 ?.............TIOARD SANITARY DISTRICT {
By
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CONN$CTION INSPSd ID AND APPROVED
`— ani to _._gijiRi indent __ /