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13530 SW CRESMER DRIVE
"PERMIT TO CONNECT -3 e�g z
Tigard Sanitary D Lstrict
PERMIT No 1441 DATE�- -
PER311T IS GIVEN ro
OF — L--- -- ----—�- — ..'
TO CONNEI'T A
TO THE SYSTE51 OF TIGAR.D SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED ON :'1IE T.EAC.RIBED PR.E%jI9F8 UNTIL CON-
NECTION IS MADE AND INSPECTION OF 4:ONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID $.............. ...................TIGARD SANITARY DISTRICT
MMAMAA• AAdYMM/NhNMA/AVr
CONNECTION INSPECTED AN{: A?PROVED
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Permit charge _
Owner ��, C1�a1�, ,� �f� %' Connection fee
Paid by
'Type of building�Tl-��,_ Date connected A%-
Service rate Inspection fee Vo
Contractor 1� Paid by Date
Size of connection ii Assessment -Pa 1.d
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