13115 SW GRANT AVENUE 13115 SW GRANT AVENUE
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PERM11' TO CONNEC ti.
Tigard Sanitary District.
PERMIT N ca 792 DATE `Jy ��:,�� �•
PFRINIT IS GIVEN TO C+ c 1� »r`_ _ _ i c, +, r�I G .✓�Y .
OF
TO CONNECT ATO TIE STSTEM OF TIGARD SAN*TART DISTRICT
AT
THIS PERMI'P MUST BE POSTED ON THE DESCRIBED PRrBIISFS).jNTIL CON-
NECTION IS MADE AND INSPECTION OF CON-%.ECTION HAS :SEEN COM-
PLETED. _
i >.c /r
PERMIT FEE PAID . ..... '
.....................' �1',9A'.YITAIty DIS
By
CONNF.C:ION INSPECTED AND APPROVED
---,SupeMntettdettt �_ —
Tax Lo+. 2. SI 2. CB 800 23-1.0 North Tigar-dville Adafn.
Assessment 3 , 271'. 22 � 1
Lateral 90_.91
2, 362 .93
17=1-61 118.1 1
& Sri thereafter
Addrese,L312'16, I Permit Nr.,.___-_-
N
Name of Occupant A � Permit.charge —2 ,,
�
I
7.
Connection fe®_
06
--_ - -- -- —----- — -- - Paid by-
_— Date connected /S�G' !
Type of Buildin _ Inspection fee X61.
t Service Rite — ____..__ _� Paid by — DateA,f_
Contractor _- Assessment o .36a 1 13_Paid
Size of connection _