SWR1971-1470 wa aP I P:ERMIT TO •CONNECT `-
-1
I
Tigard Sanitary District
• 74 4/dAy
Rival' NO " 1,470 DATE'
PERMIT IS GIVEN, TO. 'O.- .."6"Nen. • .
OF / -0 ( V iD ez,a?' -
TO CONNECT A 4
TO THE SYSTEM OF'TIGARD 'SANITARY' DISTRICT
. AT 0 9 4) - . „2
THIS PERMIT MUST BE' POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS 'BEEN' COW
PLETED,
PERMIT FEE PAID $ ....... . Sf." - TICrARH SANITARY DISTRICT
t iff•
i&V141(“41;4 •
CONNECTION INSPECTED AND APPROVED
Date —
1470
-Address 10900, S.W. Park St. Permit No.
Permit charge
I. L, Benn
Owner - . Connection fee 300.00
Paid by
Type of building Res. V V Date connected 9/28/71.
'Service rate V Inspection
Contractor, V Paid by V Date -
-Size :of connection_ Assessment Paid
' f(iCe)