11950 SW SUMMER CREST DRIVE cwl
M
11950 SW SUMMER CREST DRIVE
I
N
M
AJ
a
N
u
N
v
3
0
�n
cr
A
v Ir
PERMIT TO COi-�1NECT
T i_jard Sani+3-y District
!"Ii11v.Sa NU l t (13 DATE
PERMIT
- }---�__�j.---
PERMIT IS GIVEN TO
Ok
TO CnNNECT P.,Z ..__ - - ----- --- -----
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT M'.)ST BE POSTED ON THE DESCRIBED PR.EMIBE.S UNTIL CON-
VECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID $ ........ .._..............TIGARD SANITARY DISTRICT
By
CONNECTION INSPECTED ANP APPROVED
Superintendent
w w
n r � 1
Address 7,J l7 S l�� �„►,m�n,c� 0)'4 _ Permit No.
Permit charge ,�?—�_
Owner Connection fee
-- Paid byl�
Type of Building____ Date zonnected___ ___
Service Rate Inspection Fee ff___ r_
Contractor �(1 , �-,dQt1 l.P_y� Paid by ���u��� ��,,�- mate
Size of connection �� Assessment _ _ Paid_
I;
R