10250 SW SCHOOL STREET 10250 SW SCHOOL, STREET
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Tax Lot 2 61 2 CS 500 23-10 North Tigardvi-11Q Addn. tai
Assesdment :78. 13
Lateral 16.04
394. 17
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Paid in fill 5-19-61 �
Add:aee Permit No.
Narr.e of OccuparitJkL�� IrL��LIle, t charge.__Z
Connection fee
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Dato connected_y�
Type of Building— fir(, — —_ Inspection fee_1 e. —
Service Rate____ cc) Paid by r _ __Date_
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Size of connection
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PERMIT TO CONNECT
Tigard Sanitary District
prMMIT N° 66 DATE
PERn1IT IS GIVEN TO
OF ,�1,�.:r
TO CONNECT A ��. ^r. •y —. ..;? .�,a ' -Y 1`1�✓otic.,+ f
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT f
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION 'q MADE AND INS+PEC'TION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID $......... ........................TIGARD SANITARY DISTRICT
B5 ., .
CONNECTION INSPECTED AND APPROVED
Date - Superintendent