12070 SW 119TH AVENUE eA
--- 11070 SW 119TH AVENUE
- - ---------------
PERMIT T4 CONNECT
City of Tigard
Permit N() Sl 5 DATE /-a- e- -
P1:RMIT IS GIVEN TO-1k)"44414.c.
TO CONNECT A
TO THE SYSTEM OF CITY OF TIGARRDD
THIS PERMIT MUST B3 POSYED ON THE DESCRIBED PREMISES UNTIL COW
NECTION IS MADE A;ws INSPECTION OF CONNECTION HAS BEEN COMPLETED.
PERMIT FEE PAID Sf _ CITY OF TIGARD
try ,/'A •.. _.
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CONNECTION INSPECTED AND APPROVED
Date Superinfondwnt
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