9565 SW FREWING COURT 9565 SW EREWING COURT
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PERMIT TO CONNECT
Tigard Sanitary f Astrict
PERMIT N? 937 DATE
PER37IT IS GIVEN To
OF
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DI9TRICT
AT
THIS PERMI2 MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID �.,,'...................... TIGARD SANITARY DISTRICT
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CONNEC'fiON INSPECTED AND APPROVED
ete 3upeflnten(lent
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Addresew/N _ __ Permit No. 3
Name of Occupant.____________ Permit charge
---------- __._-- Connection fee
aidby_. ...... --_ ---------__
_ --- Date connected
Type of Bui. iing- - - Inspection f:3e.
Service Rafe_- Paid by _ _Date_
Contractor Assessment -_ —Paid
Size of connection
APPLICATION FOR SEWER SERVICE
The undersigned agrees, in conrideration 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 in effect or hereinafter enacted and to pay sewer service charges as the same may be im-
posed from time to time when du(, and before such charges become delinquent.
I fully understand that all unpaid sewer service 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.
APPROVED BY Owner
Superintendent — -" -
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TIGARD SANITARY DIS J RICT
8841 S. W. Commercial St.
Tigard, Oregon
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