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9520 SW EREWING COURT
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PERMIT TO CONNECT
Tigard Sani.tf--).r - District
PERMIT N° 933 DATE
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PERMIT IS GIV BN TO ----
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TO CONNECT A
TO THE SYSTEM OF TIGARD SANITART DISTRICT
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THIS PERMIT MUST BE POSTED ON 7,11E DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONN7,CTION HAS BEEN COM-
PLETED.
PERMIT FEE PAW :.. ":......................TIGARD SANITARY VISTKICT
By
CQNNFCTION INSPECTED AND APPROVED
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--- - ------ Date fi�Perintend®nt
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Address ��� rQ ;(�l,��y¢_ Permit No.��.J
Name of Occupant.. - Permit charge
_—___-- Connection fee
Paid b
--__ Date connected--I-:I--Zig '"__7 —
Type of fiuilding Inspection fee__-_-_
Service Aate Paid by Dale—
Contractor Assessment Paid
Size of connection
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APPLICATION FOR SEWER SERVICE
The undersigned agrees, in consideration of the sewer service connection by the
Tigard Sanitary District, io abide by and comply with the ordinances, regulations and rules of the Dist-
rict presently in effect or hereinafter enacted and to pay sewer service charges as the same may be im-
posed from time to time when due and before such charges become delinquent.
I fully understand that all unpaid sewer sei vice charges become a lien upon the
property served as stipulated in O. R. S. 224.220.
Connections to the District's system must be made by bonded contractors and,-'or
bonded and licensed plumbers.
Owner - -----
APPROVED BY
Superintendent
TIGARD SANITARY DISTRICT
8841 S.W. Commercial St.
Tigard, Oregon
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