10175 SW KATHERINE STREET 10175 SW KATHERINE STREET
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PERMIT TO CONNECT �s✓
Tigard Sanitary District
PERMIT N° 1321 DATE �'' 7 t:
PERMIT IS GIVEN TO
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICTda..
THIS PERMIT MUST BE POSTED ON THE JESCRIBED PREMISES UN"71,CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT VEE PAID ;. .. ...::..................TIGARD SANITARY DISTRICT
CONNECTION INSPECTED AND APPROVED
Date
Supetlntendent
Address 0i!7Y_� �.�.�.w._�,..er" Permit No.—
Permit cnarge
Ow- -,r iIL�144,1 Connection fee �q�c "O
Paid by.
Type of building ��� � Date connec to_'
Service rate �t�tn -�`i Inspection fee, ,14 '6
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Contractor Paid by_ Date
Size of connection ��� Assessment_ Paid+,.„.,�,�,„r,,,
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