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Address •?o l,f� l����.�ls�•,�___ _ Permit No.-2f- '
Na*ne of Occur=# Permit charge _t
--------------- - - Con.zection fea-_,;,]v
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Paid
Date connected P -/O - G 7
Type of Building / � _ lnaFection we ^-
Service Rate _ _ Pai6 by Date—
Contractor -__ _ __- Assessment Paid
Size of connection '__.,
PERMIT 10 00NNEC 1
Tigard Sanitary District �
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PEh1vIIT N9 994 DATE -
PERMIT I9 GIVEN TO
OF
TO CONNECT A 1 I
TO THE SYSTEM f)'F TIGARD SANITARY DISTLiICT
AT
THIR PERMIT MUST BE P0,972ii ON THE DE9CRISED PREMISES UNTIL CON-
NECTION IS MADE AND !NSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE Pn:D !_. ........._................TIGARD SANITARY D!.,PRICT
By
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CONNFM. ON INSPECTED AND APPROVED
W
Dote BuDeaieitendeat -----._—
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PERMIT TO CONNECT
City of Tigard
Permit Ny �4 0 MATE .—�--
PERMIT IS GIVEN TO.—
OF
TO CONNECT A—'// _--
TO THE SYSTEM OF CITY OF TIGARD
AT_.1, _C_1rl C.1
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON
NECTiON IS MADE AND INSPECTION OF CONNECTION HAS BEEN COMPLETED.
PERMIT FEE PAID $ CITY OF TIGARD�....-
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CONNECTION INSPECTED AND APPROVED
Date Superintendent