9545 SW FREWING COURT ..
9.545 SW PRFNINC COURT
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PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N? 983 DATR
PERMIT IS GIVE V TO •1
OF --- L`.J— -- --
TO CONNECT A .,
TOTHE SYSTEM OF TIGART SANITARY DISTRICT
AT
TRIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLRTED.
PERMIT FSE PAID .:..........................TIGARDSANITARY DISTnICT
By
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r a
CONNECTION INSPECTED AND APPROVED
----..-....._A Date 9up^rintendent
Address ' ,f F�('Ewt M!r -� Permit No.. j e
Name of OccupantPermit charge_
----- - -- Connection fee Z>ZQ_---
-- -- ------ paid
--- Date connected
Type of Building e- ___ Inspection fee -0
Service RatePaid by Dale
Contractor Assessment Paid
Size of connection of '
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APPLICATION FOR SEWER SERVICE
The undersigned agrees, in consideration of the sewer service connection by the
Tigard Sanitary District, to abide by and comply with the ordinances, regulations and rules of the Dist-
rict presently i, 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 sarvice charges become a lien upon the
property served as stipulated in O. R. S. 2.24.220.
iConnections 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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