11825 SW KATHERINE STREET-1 11825 SW KATHERINE STREET
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PERMIT TO CONNECT
Tigard Sanitary District
PERMIT 7,11 1070 DATE
PERMIT IS GIVEN TO -- r--
OF ._,_----- - --
TO THE SYSTEM OF TIGARD SANITARY DISTRICT ��,� � ��� A•1c..e,
AT
THIS PERMIT MUST PF POSTED ON THE l,"RCKIBED PREMISES UNTIL C.IN-
NECTION IS MADE AND INSPECTION OF CON'N:iTION HAS BEEN COM-
PLETED.
PERMIT FET-. PAID BI.... ...........................TIGARD SANITAPY DISTRICT
By
"Aloko low,
CONNECTION INSPECTED AND APPROVED
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Addresses Permit No. Q 7 G
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Name of Occupant_— _ _ Pormit charge
Connection
Paid by
by
Date eonnec'ld
Type of BuildL-,g.. _-_-.- _-_.___- I-,spectior.. fee
Service Rate __ __ Paid by Date_. -/U
Contractor____.._-------_---�---_ Assessment ._.._ _ - --- Paid. _
Size of connection ---