10905 SW MIRA COURT r
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Address �I .�Gira �. ... .._.._., �. Perna i t No. _.�J41A.......,_ ..., _,_. .._. _..a..
.... �.___.... �� .z a...._ �..�_...r._....�..�...�._... Aerwit charge
owner .. - Conneetion fee 4M.00
Paid. b:v ..
Type of builaing Residence
o� Date connected __ 6-28-72
Servtce rete ......._v. 3.00 Per month".d�..,. I.nspection fee .�.._,�5'��<.m.,.�..,�.�....�
D.W.b.
�'. )ntxactor _,...._...,i�.W aU: �..A....... -...,.�_._._., . .,�_._.y._..._..,_., kel. byNt,e..��-n,..�,....�...,:. _.�9.._,...,._,.«.�.�..,...
411 AR P es sn�ent Paid
Size of connection ...�,.,.,_.,m.......,�.
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PERMIT To ,,ON 1 iI'CT
Tigard Sanitary District
PERMIT N° 1618 DATE -
M;19 ri 4
PERM"T IS GIVER TO
TO CONNECT
v;THE SYSTEM OF TIGARD SANITART DISTRIt,"'C
AT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED YREMISRS UNTIL CON-
NECl'ION 18 MADE AND I14SPECTION OF CONNECTION HAS BEEN COM-
METED.
01,01MIT FEE PAID $..............�:j(0i.Q........TIGARD SANITARY DISTRICT
By
I. G.„., �1�""�.-.,�•�.�... i..� _�...t.d...�..�
,...,...
-�1���cr y'i�.•rte�Y ?.�••/d,/
CONNECTION INSPECTED AND APPIIOVED
_. Date &ipetintendent