8775 SW COMMERCIAL STREET-1 i
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8775 SW COMMERCIAL STREET
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'address i7 4 �� , l Permit No.
Fermit charge y�•0`'
)wner_ ����T_ ti. `2 .4.4„_14 . L - Connection fee
Paid by
e of Building
Date connected
Y P g t
—
i
service Rate _ Inspection fee /
:ontractor Paid by Date
size of connection / ' � Assessment Paid
PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N° l t 9 8 DATE
PIA1111T IS GIVEN TO 11.
OF
it
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT —
THIS PERMIT MUST BY 1'OYTED ON THE DESCRIBED PREMISES I'NTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID # •. ••'I IGARD SANITARY DISTRICT
/ % L!r►•�lei R _". BY
CONNECTION INSPECTED AND APPROVED
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- - ,Upi?rintendent
-- Date