13225 SW ASH AVENUE 1
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Address .�•�.� / _ Permit No._F-6- --
Name of Occupant y _ _ Permit c'.:arge
Connection fee Z SO _
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Date connected
Type of Building Inspection fee-__/ C
Service Paid by Date
Contractor
Size of connection_-
PERMIT TO CONNECT
City of Tigard
Permit I'+T° 560
PERMIT IS GIVEN
TO !/ X_t9 ;(sir./i )
TO CONNECT A
TO THE SYSTEM OF CITY OF TIGARD
THIS PlIVAIT MIDST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION Ix MAL'); AND INSPECTION OF CONNECTION HAS BEEN COMPLETED.
PERMI f Fill PAIL -.—_..__CITY OF TI(GA.RD
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CONNECTION WSFECTED ANO APPROVED
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