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13260 SW ASH DRIVE
Addrens/J-24 ffl- a iQ. - Permit No. p ------�--- - --
Name of Occupant__ Permit charge v2_
Connection fee
Paid by
Date connected ^-��''G7-
Type
_Type of Building —_ Inspection fee
Service Rate-- Paid by Date--
Contractor Assessment Paid
Size of conneulvIn + _
PERMIT TO CONNECT
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Tigard Sanitary District
PERMIT N 10 v w 0 DATE ---
PFR3IIT IS GIVEN TO
OI'TO CONNECT A ------
TO THE SYSTERT OF TIGARD SANITARY D19TRICT
AT
THIS PERMIT MUST BE POSTED ON TH?E DE.9CRIBED PREMISES UNTIL CON-
NE J ON I8 MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETKO.
PERMIT FEE PAID II_.__:...........................TIGARD SANITARY DISTRICT
By
CONNECTION INSPECTED AND APPROVED
-- Dater-- - --- __—Superintendent _ �.