11540 SW HALL BLVD W � � air ®► � e�
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11540
:S11.540 .l:,V HALL BOULEVARD
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i
41
/pity of Tigard
tPECATIONEST
{ for
IINSPECTION TIME : ��=�y�` PERMIT NO. '
I DATES� DATE ISSUED'-,-/
OWNERS NAMC . G-Edt'o - AC/A)
ADDRESS :
i CONTRA GTOR '____----_-- ----___._
TEST: Air Cl, Water Ll ,, Visual p , Laboratory p
RESULT: Approved IT,""
Disapprov A 0 , Pot-ding f3
I 3 T e, t
169 /V
/170/0-C '
I 0
&jn S7—/a pct 0,1 T
6r
I IN3PECT0 DATE
{ rNOTE . Attach supplemental feet dato hrfo 111
W m FLU
FERMI TT TO CONNECT
Tigar(l Sanitary District
PERMIT N ? 698 DATE " - .✓ aE - i� —
PERMIT IS GIVEN TO
OF
TO Co"CT A_
TO THE SYSTEM OF TIGARD SANITARY IIISTRICT
AT
TINS PERMIT MUST HE POSTED 4IN THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLE'lCTJ.
PERMIT FEF PA11) Y... ... .........................TIGARD SANITARY DISTRICT
By
CONNF.('TIVN INSPECTED AND APPROVED
Date ��-� - Superintendent
TIGARD SANITARY DISrFRI CT
Plant: ME 9.3650 ^ 8841 S.W.Commercial St.
Office:ME 9.155.4 TIGARD 23, OREGON
Novealher 2 1961.
Mr 0. Cagle
Tigardp Oregon
Bear .sir:-
May 1, 1961 we sent ,you a bill for $1250.00 connection
fee charge for your apts. on Hwy 217. To date we h7ve not received
payment, "lease n8y this as soon as possible.
Sincerely
Tigard Senir.ary District
H.N r'ropst Cinrk.
TIGARD SANITARY DISTRICT
Plant: ME 9.3880 y -- —J 8841 S.W.Commercial St.
Dffice:ME 9.1884 TIGAAD 23,OREGON
May 1j 1961.
Mrs 0e Cagle
Tigard, Oregon
Dear Mrs Cagleta
Dre Tigard Sanitary District for 5 connections
on Hwy 217
41250.00•
slnoerelyt
Tl,�ard Sanitary District
h y N.M.Propst Clerk
a /
- ; �.
r I
17
Addrew IL 4=19 Sd V Permit No.
V
Name of Occupaiit /Permit cUarge
Connection fee
Paid by
Date connected.-
Type of Building Inspection fee
Service Rate-..-- Paid by --Date
Contractor Assessment �*-,V Paid
Cr e.,-)
Size of connection