12000 SW BURLCREST DRIVE-1 9'
N.
rL.
' 1
n
000 SW BURLCREST DRIVE
PERMIT TO CONNECT
City of Tigard
®f MiN? 1 Z 4 HATE_
PRRMIT IS GIVIN Tfi__�T,
r
it
TO CONNECT A
TO THE SYSTEM OF CITY OF TIGARD
it r. ! C"S S ��,.•
AT ._-.lam SSS _ ��-„! _' I - < < 4__v_!'
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UN'iIL COW
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COMPLETEC.
PERMIT FEE PAID $ - CITY/OF TIGARD
11 rar^•�ururorwosawnw.��.rr•,�..�,w,-s...�. �.,wnsrnrownrNl�n�o�+
CONNECTION INSPECTED AND APPROVED
Date Supwintendent
�(I
I
�I
i