9675 SW FREWING STREET A M
9675 SW FREWING STREET
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Address ' ISr ZI, c Permit No.
---- Peiir t charge
4.
Owner
-� t Connection fee
Paid by
Type of Building xi4 Dato connected
Service Rate Inspection fee_ f� 4
Contractor Paid by Date
Size of connection `> Assessment`_ Paid_
PERMIT TO CONNECT �
Tigard Sanitary District
PERMIT NV ) 102 4 G DA"1,
PrRMIT IS ('P EN TO :'AOF
,.. y�•'�i „/ r , I
r
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
TIIIS PERMIT MUST RE POSTED ON Till,DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID .*,L...................TIGARD SANITARY DISTRICT
By
I Olt 4L
CONNECTION INSPECTED AND APPROVED
Date Bupeiintendent
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