11485 SW LOMITA AVENUE 11485 SW LOMITA AVENUE
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PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N9 722 DATE
PERMIT IS GIVEN TO �•.._ / i1� �'
OF
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
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AT__."_ L—�L__ - '� -- r e'R (1
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT XWEE PAID $..... ..r.........................TIGARD SANITJUY DISTRICT
BY
CONNECTION INSPECTED AND APVROVEB
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--� --- Date-- perintendent
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Address ��� �.5 S W' l e'l ,rd Permit No.
Name of Occupant ,acs . ����.c- Permit charge_ 0
C � Connection fee �`�
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--- Paid by �},.(" /� Loc< Som'
Date connected
------------
Type of Building 7 ES/Drpt V �— Inspection fee /
Service Rate ,;2 1. Paid try (r f` . K���+E Date_
Contractor /^ �•t . K tyc r_ ��- _ Assessment—
Size of connecti