13485 SW CRESMER DRIVE 1 ,
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SW CRESMER DRIVE
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Address 13485 S.W. Cresmer Permit
Permit charge w
Owner Connection fee 425.00
Paid by__^�
Type of building Ices. Date connected
Service rate_ 3.00 per month .Inspection fee
Contractor C.B. Shirley paid hv_C. B. Shirlery_ Date_---_._ —
Size of cDnnection_ ��� AssessmentPai.d_
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PERMIT TO CONNECT '3Vc-,
Tigard Sanitary District
PE?RMIT N9 1.5 6 2 DAI H:
PERMIT IS GIVEN TO
OF
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT T
AT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID $... ............................TIOARD SANITART DISTRICT
BF
CONNECTION INSPECTED AND APPROVED
Date -- --- y--- 6uperintendent��i