12780 SW MARIE COURT 12780 SW MARIE COURT
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PERMIT TO CONNECT V
Tigard Sani.tar y District r
g y
PERMITIN� - 1260 DATE
PERMIT IS GIVEN TO . �
OF
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID j-..... .. ...........TIGARD SANITARY DISTRICT
CONNECTION INSPECTED AND APPROVED
--_--__ ..__-Bate ----
Address /';;5"�) �1�� ` Permit No._
Permit charge
Owner r ,,
Connection fee
Paid by
Type of Building Date connected j 2,_."-;ZL
.! 7 Inspection fce 4 . G,
Service Rate_- _ - _ - i
Contractor Paid by Date
Size of connection '�" Asaessmenti_ --Paid
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