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PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N9 996 DATIC e?- /7-
PF.RtitIT 1S GIVEN TO, � �� 7
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
A-1
THIS PERMIT !MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND '.N!1PvCfION OF CONNECTION HAS BEEN COM-
PLETED.
4.4
PERMIT FEE PAID TIGARD SANITARY DISTRICT'
i
CONNECTION INSPECTED AND APPROVED
Dale Superintendent
eeciAL.
Address Permit No. iY4, J26E
Name of Occupant__ - --- Permit charge
Connection fee_ DOQ '1
--- - - -- Paid by - –
_ Date connected
Type of Building.?'_ opt*&- Inspection fee /O
Service Rate__- Paid by __-_Date
Contractor, Assessment Paid
Size of connection
PFRMIT TO CONNECT
Tigard. Sanitary District N �
PER141T V° 959
DATE _-( " �-' /-�-
PF10I1T IS GIVEN TO }( ,�
OF
TO CONNECT A •`� r J' r r, t __ —�_
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
Alt
THIS PERMIT MUST BE P,/STED ON THE DFSCRIBED PREMISVJ UN';lL CaN-
NECTION IS MADE AND Ir'SPECTION OF CONNECTION HAS BEEN COW
PLETED.
PERMIT FEE PAID a.."I.............................TIGIAIM SAMARY DISTRICT
R7 p.
A 04 o
CONNECTION INSPECTED A'.VD APPI4,O VED
----Bate �_ �tupertntendent _ ��