9005 SW COMMERCIAL STREET �o
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9005 SW COMMERCIAL STREET
PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N? 647 DATE
PERMIT IS GIVEN TO �• J f Jr _
OF
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
i 17.
A'1' >
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION 13 MADE; AND INSPECTION OF CONNFCTION HAS BEEN COM-
PLETED,
PERMIT FEE PAID $..-. ............................TIGARD SANITARY DISTRICT
By
CONNECTION INSPECTED AND APPROVED
Date /'Superintendent
Address _- cGt-L�**ti-e.Gl rPermit No. —
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Name of Occupant___ Permit charge?, a (2
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Paid by
r nate connected JM
1YPe of Building( Inspection fee Ll
���D
Service Rate _- Paid by . ---Dat YAP,
Cor_tractor Assessment _
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Size of connection —T 1'a'r� —I �L' �Oo°C. � .�,T l�.L / °C'+ / yam"
fd z 40
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