9965 SW FREWING STREET 9965 SW EREWING STREET
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Ad.9>:ee$�'��5' Permit No.
Permit charge � c{)
owner �:� � '- ( _ _ Connection fee
Paid by
61
Type of. Building � - Date connected
Service Rate Inspection fee
Contractor_ _____�_ Paid any— Date
Size of connection 1_' Y V Assessment:
--Paid
PERMIT TO CONNECT
Tigard Sanitary District
PERMIT Ml 1244 DATE / �"��( r ----
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PFRMIT IS GIVEN TO
OF � . •� d
TO CONNECT A -
TO TILE rYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST HE POSTED ON THE DE9CRj0,D PREMISrs UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID $......, .......................TIC ART) SANI'7"CRY DMTIILC"1'
By
CONNF(-I'ION INSPECTED AND APPROVED
Date SUPerinten ent
t