9220 SW INEZ STREET-1 i 9220 SW INEZ STREET
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Address )220 S.W. Inez St.
Permit
_ Permi t charge,_,__„_.__._..._. ----.--
Connection fee_^ 400--00
Owner_,_______
Paid Date by,_.,...._._Mar L/L '_'AUZa a —_
connected i1-23–
Type of building Residence
Service rate 3.00 per month Inspection fee 2�— -
Contractor Marvin Penrose ,,.....__
Paid by same Date_„
Size of connection 1," --
Aase3sment_.
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PERMIT TO CONNECT 1`4q oz
Tigard. Sanitary District -1 s�`;,
PERMIT N° 1510 DATE
PFRMrr 1S GIVEN TO r L U/
OF z , ;f
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TO CON101ICT A
TO T1Hr.. SYSTEM OF TIGARD SANITART DISTRICT
AT
THIS PERMIT MUST BE POSTED ON THE DRSCRIiFD PREMISES IJNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN 0"OM-
PLETED.
PERMIT FEE PAID ;....yr........1.".L.............TIGARD SANITARY DISTRICT //!►
CONNECTION INSPECTED AND APPROVED
Date Superintendent