9725 SW FREWING STREET 9725 SW N-REV, JG STREET
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Addresso Permit No. f ace(Q
Permit charge J,
Owner , l��,, l.a . Connection fee_
Paid by
Type of Building �t4., Date connected
Service Rate inspection Yee
Contractor Paid by Date
Size of connection .L Assessment �Paid -
PERMIT TO CONNECT
Tigard Sanitary District?.1
PERMIT No 1266 DATE rf- (
_ PVRH11T IR CiVEN TO
OF !
TO CONNECT A �-
TO THE PYSTEM OF TIGIARD SANITARY DISTRICT
AT {
THIS PERMIT MUST BE POSTED ON THE D CRIBED PREMISES UNTIL CON-
NE('TION 1S MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE i'AID ;. . -..,?..�'�..........TIGtiARD SANITARY DISTRICT
By
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CONNECTION INSPECTED AND APPROVED '
— —Da-te�- -- - __ Superintendent