12045 SW SUMMER CREST DRIVE 12.045 S` SUMMER CREST DRIVE
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Permit No.
Permit cnarge
Owner- Cciinection fee
Paid by
Type of Date connected_-! ? - '-
Servi.ce
onnected
Servi.ce Rate Inspection fee
Contractor Paid by-----.— _Date`
Size of connection AssesErvent. i d—
A -- -
PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N9 1158 DAIS _------_._
PERMIT IS GIVEN TO
OF
TO CONNECT
TO THE SYSTEM OI' TTGARD SANITARY DISTRICT
r AT _
THIS PERMIT MTTAT BE POSTED ON THE DE9rRIBED PREMISES UNTIL CO'i-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID .........................TIGARD SANITARY DISTRICT
BY
CONNErTION INSPECTED AND APPROVED
—----_--- Date -- Superintendent