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13215 SW ASH DRIVE
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Name of Occupant c E,�' 'E
p• �._ J LL Permit charge
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Date connected
Type of Building ifTE-r-/dEit/c r _ - Insrection fee,
Service lla,e____- raid by J ��I'v,h- Date
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Contractor.. .-.�//f� '. ��c ` Assessment Paid
Size of COnneCtlOII
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PERMIT TO CONNECT
City of Tigard
Permit, N? 802 DATE ' io,/�s"—
PERMIT IS GIVEN TO
TO CONNECT A
TO THE SYSTEM OF CITY OF TIGARD
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THIS PERMIT MUST 66 POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COMPLETED.
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PERMIT FEE PAID CITY OF TIGAR
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CONNECTION INSPECTED AND APPROVED j
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Date Superinfhndonf
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