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12445 SW BELL COURT
Address 12445 S.W. Bell Ct, Permit No o_ 1j42
Permit charge
Owner Connection fee 4o0.00
Paid by Dale Construction
Type ei' building_ Residence Date connectedY_w�_� �^
Service rate_ 3.00 per month Inspection fee 25.00
Contractor Dale Construction _ Paid by same Date
Size of connection 4+1 Assessment Pa.i.d
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PERMIT TO CONNECT3s
Tigard Sanitary District '"
PERMIT N�) 1. 542 DATE y
PERMIT 1S GIVEN TO ✓• r'' ~r7777,7
OF
TO CONNECT ATO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT c-}
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETFD,
PERMIT FEE PAID $.................................TIGARD SANITARY DL4TRICT
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CONNECTION INSPICTED AND APPROVED
— Date ----- ---- Superintendent
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