11945 SW KATHERINE STREET 11945 SW KATHERINE STRELT
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PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N° 1071 DATE
PERMIT IS GIVEN TO
OF
TO CONNECT A ---_�.______
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT _
T1118 Te:ttMIT MUST RE POSTED ON 711E DFSi.RiliEI) PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEErl COM-
PLETED.
PERMIT FEE PAID .........................Ti(jtAlll) SANITARY DISTRICT
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CONNECTION INSPECTE71 AND APPROVE
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/ ♦ R Address /
Permit No. / e 171
Name of Occupant Permit
Connection fee
-- — -- -- Paid by
Date connected
Type of Building--_________ - Inspection fee
Service "ate ____-- _--- Paid by Data
Contractor-___..___._�--------- ---_-_-- Assessment Paid
Size of connection
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