13275 SW ASH DRIVE-1 I
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Permit charge 2-? Z2 -e- _
�.. . r Connrc:ion fee
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Paid by
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rvir, - Insper_tion rE,L)
,ntrar! or Paid by date
izr� o1 C'7riri�r-t.i0rl ' Assessment Paid
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PERMIT TO CONNECT
Tigard Sanitary District
PERMIT No 797 DATE,
PFR111T IS GIVEN TO
OF
TO CONNR(.T A
TO THE-SYST$M OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED CIN THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID $......................................TIOARD SANITARYDTSTRICT
By
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CONNEL'TIf=N INSPECTED .►ND APIROV,,c
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Addrew �3a 7"S J;10)- All 7)W' Permit No.
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Name of Occupant_____ r�05 ✓�}[ L Permit charge
Connection fee
Paid by �(/.���`'�rr.—
Date connected
Type of Euilding f S/hE �' '�_t Inspection fee
Service Rate :2 _ Paid by �16Y�K�0(-A)ate ✓ /
Contractor _),.__� /C - '- Assessment——_ Paid
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Size of connection