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11155 SW 119TH AVENUE 11155 SW 119TH AVENUE i i 1 PERMIT TO CONNECT Tigard. Sanitary District a� PERMIT N9 953 DA'L'E PERMIT IS GIVEN TO OFTO CONNECT A - TO THE SYSTEM OF TIGARD SANITARY DISTRICT AT THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON- NECTION IS MADE. AND INSPECTION OF CONNECTION HAS t1FEN COM- PLETED. PERMIT FEE PAID $.......Wf ...11 .............TIGARD SANITARY DISTRICT A SU 'tu- CONNECTION INSPECTED AND APPROVED -- Date Superintendent V / Address w Permit No. Name of Occupant_ _ Permit charge Connection fee Paid by_ Date connected &V Type of Building_ Inspeotion fee Service Rate Paid by Date Contractor _ Assessment —Paid------ Sip- aid_ ___— Size of counechun