11850 SW KATHERINE STREET 11850 SW KATHERINE STREET
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PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N° 1033 DATE _--
PERMIT IS GI;'%*1 TO
OF
:ir vYNECT A
TO THE STST"M OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST 3E POSTED ON THE DP'"IrRIBED PREMISES UNTIL, „ON-
NECTION IS MADE AND INSPECTION OF CONrOWTION HAS BEEN COM-
PLETED.
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PERMIT FFL PAIDTIuARD SANITA`PY DISTRICT
$...." ...................
By .e
M....�►.,...
CONNECTION INSPECTED ANC APPROVED
---____-- Date Superintendent _....�
Address Permit No.
Name of Occupant— Permit charge
Connection fee 24"
Paid
D-Ia conrected
Type of Building Inspection fee
Service Rate---- Paid by _ - Date`--_-------
Contractor__
ate----
Contractor. Assessment Paid
Size ol ,onnection