11415 SW GREENBURG ROAD 1.1415 SW GREENBURG ROAD
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Permit charge
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Paid by_
Type of building, Date connected
Service rate Inspection fee
Contractor raid by Date ,,______
Size of connection_ Assessment -.-Paid
PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N° 13 2 4 D.►TE
PERMIT IS GIVEN TO :���+;t{'1 i/�+ ��.�=� .r' -t} -�••� �_
OF
TO CONNECT AL ^
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST HE PASTED ON THE DESCHIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PI.FTFD.
PERMIT CFE PAID ;.......':.........................TIGARD SANITARY DISTRICT
, - BY_._ _. .�
CONNECTION INSPECTED AND APPROVED
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Date 9upertr►tendenti