10450 SW MEADOW STREET L'. i_.•� :3W MI V%FY AJ
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PERMIT TO CONNECT
Tigard Sanitary District �.
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PERMIT N° 945 DATE -
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PERMIT IS GIVEN TO -s___�-_.-__ -- ---- ----
OF -- --- l.e_ --——---- --
TO .ONNECT ATO THE SYSTEM OF UGARD SANITARY DISTB*CT
AT
THIS PERMIT MUST BE POSTFD ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID $.... ............................TmARD SANITARY DISTRICT
By _....
(,7
CONNECTION INSPECTE.-) AND APPROVED
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-^ ����Date �Supeclntendcnt
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Address _AAbV(& ____ Permit
Name of Occupant_ Permit charge --
Connection
-- ------— Paid by ---------- _ _. 1
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Date connected
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Type of Building - --- - -__.-- -_-- - _ — Inspection fee--.---__ M
Service .,ate Paid by _- Date, _
Contractor ---------- —� __ Assessment -__-----_._-_paid
Size of connection