11825 SW SUMMER CREST DRIVE 11825 SW SUMMER CREST DRIVE
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PERMIT TO CONNECT
Tigard. Sanitary District
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DATE
PERMIT M
PFRAITT IS GIVEN TO;,,.L J
OF
TO CONNECT A ------
TO TIIE SYSTEM OF TIGARD SANITARY DISTRICT
AT ! /S.2-
4-THIS PERMIT MUST BE POSTED ON THE DF9CRIBED PREMISES UNTIL CON-
NECTION IS MADE .AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAIDb.. ��• .........TIGARD SANITARY DISTRICT -,
m --" By
CONNECTION INSPECTED AND APPROVED
SuperfiRendent
Addressp �J Permit No. // O„Z,
11_.- __ __
Permit charge
Jwner �# �1/i . � Connection fee .23`o
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Paid b y
Type of Building 02&4 , - Date connected
Service Rate_ _ p - Inspection fee
Contractor Paid by Date
Size of connection 4 Assessment Paid
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