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PERMIT TO CONNECT
CRy of Tigard
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IT? 838 DATE
PERMIT IS GIVFN TO _� _..�.-_ _ ��A /'_C_
OF
TO CONNECT A
TO THE SYSTEM OF CITY OF TIGARD
THIS PERM(? MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON,
VECTION IS MADE. AND INSPECTION Or CONNECTION HAS BEEN COMPI.,ETED.
PERMIT FEE PAID $ _ -..—,-.CITY OF TIGARD
By. _. -._ ...._
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CONNCCTION INSPECTED AND APPROVED
Date — — — Superintendent _