10045 SW GARRETT STREET f �
10045 SW GARRETT STREET
f �
1
L
L
I 41
N
I �+
3
rq
-a
0
0
1
i
Address_ /CdyS' Permit. No. �
r(_rmit cnarg �i )
Owner______
Connection fee�j j
-` Paid by
Type of Building ,Q Date connected
Service Rater 4444, � o
Inspection fee
Contractor
-- Paid byU ���Ci`Date
Size of connection y �
t ssessment—_ Paid
'PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N° 1125 DATE
PERMIT 18 GIVEN TO
OF
TO CONNECT A
TO THE BYBTEM OF TdG4ARD SANITARY DISTRICT ' 't�•ate.,'-., i'Y �-
. .._............cif..._...._..._...
AT
THIS PERMIT MUST RE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS SEEN COM-
PLETED.
PERMIT FEE PAID .............TIG'ARD SANITARY DISTRICT
By
.�wAlwrwhtf.ti'M1A/tiM.M/R.1aP
CONNECTION INSPECTED AND APPROVED
--� Date Buperintende,A