12700 SW PACIFIC HIGHWAY (2) SW 114TL & TIGARD STREET
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PERMIT TO CONNECT �4
Tigard Sanitary District
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PERMIT N? 11.505 DATE 3 /_
PERMIT IS GIVEN TO.._ • .Z,,z„q,,,d
OF
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT 1
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THIS PERMIT MT-:s,r BE POSTED ON THE DF.SCRIBLD PmrMISES UNTIL CON-
Nc4 TION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLE iEP
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PF,RMI1 FEF. PAID :..3�..�.,�`."...
...........TIGARD SANITARY DISTRICT
By �~
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CONNECTION INSPECTED AND APPROVED J Date Superintendent+� — Superintendent