12330 SW GRANT AVENUE 123.30 SW GRAFT AVENUE
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PERMIT TO CONNECT
Tigard Sanitary- District
PERMIT N° 769 DATA
PERMIT 1S GIVEN T1/'s
TO CONNECT A c/ �..GLY 1/..Are,
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TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT ,dJ_ G '�ttL+�i'L`G ^`� r,"� C✓Z.!.Y� 6�-�'1
THIS PERMIT MUST HE POSTED ON THE DE-9C�'REMISES UNTIL CON-
NEC'TION IS MADE AND INSPECTION OF CONNF:;TION HAS BEEN COM-
PLETED.
r
PE^."SIT FFE PAID Sr':"� .'..........................
By
CONNECTION INSPECTED AND APPROVED
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Date Superint--e-nddent:
y
Tax Lot 2 SI 2 BA 1500 23-10 Horth Tigardville Addr.
Assessment. 618.25
Lateral
N.9
11-1-62 30.92
& SA thereafter
Address 11,33 Permit No., ___ a -J/,6�
Name of Occupant '"- " -�2v LajLA&.-- Perwit r:large_`. �( A__ �'��e: _�.�1,�- ✓�
Connection feo.._*,00 4' 61
— — -- Paid Ly
Date connected--
Type of Building_..__ Inspection fee /0.0 0 _—
Ser-rice Nate �0�_ Paid by _` 0 lwa,..�s-•_-_i)ater 14
Contractor _ _ AneesementLL?,,9� Paid ___—
Size of connection