9355 SW INEZ STREET 9355 SW £NEZ STREET
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Address 9355 s.w. Inez 1615 Permit No. ____,���
Permit chargeowner ..
- — Marvin ®[ Penrose CoInne.ction fee 400
Paid by Marvin Penrose
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tDate connected
Type of building —
Residence d 9-15-7_ -
service rate 3.00 per month Inspection Pee
Contractoz° Marvin Penrose
Paid by same Date
4" Assessment Paid
size of connection
PERMIT TO CONNECT
Tigard Sanitary District -~
PERMIT N'.' 1615 DATE --
vrttntrr 15 QIVffiN TO
TO CONNECT A _ 'TO THE SYSTEM OF TIGARD SANITARY DISTRICT
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AT /
THIS PERMIT MUST BE POSTED ON HE DESCBI$ED PREMISES UNTIL CON-
NECTION 18 MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID ...........................TIGARD SANITARY DISTRICT
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COMMICT16N INSPECTED AND APPROVED
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