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13135 SW ASH DRIVE
A d d r e a 3���3 � � Permit No. /�•� �y
Name of U.cupant_ Permit charge.
Connection feed-�2% S'67 p=-
Paid by -- -----— --- -------- -
--- -- ----- - ---- - --- --- ---- Date connected / `J ' 7
Type of Building_-� �_ -__ Inspection fee- -0__' --._- _-
Service Rate-.�--�- _-__-- raid by ----_---- _---- ---,Date-.---
Contractor"-- - _-- Assessment_ --------Paid
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Sizo of connection
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PERMIT TO CONNECT
Tigard. Sanitary District
PLRMIT Nc. 1026 D ATE
PERMIT 1S GIVEN 'PU
OF
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID $... .............................TIGARD SANITARY DISTRICT
c� 773
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CONNECTION INSPECTED AND APPROVED
- ----Elate-— — SuperinterZent --