11710 SW NORTH DAKOTA STREET 11710 SW NORTH DAKOTA STREET
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PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N? 1611 DATE =`
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PERMIT IS GIVEN TO
OF
TO CONNscr A I
TO THE S'ISTEM OF TIGARD NITART DISTRICT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED,
PERMIT FEE PAID .......... ............TIGARD SANITARY DISTRICT
By
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CONNECTION INSPEC7I9D AND APPROVED
Superintrndan't --`
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I)e kota 3t Perm s,t NO. 1611
Address 11�10_�.W._ v...�.....- ..,,�. i
Permit charge —
Dou Ki Connection fee sm. �_�...�.�...,..,..___..._
Owner
Paid by Don —
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.c�ence Date connected.
Type of build�.ng __Res _._.�. - —
er month Inspection fee
se ry i ce rata .00 —
Paid by same Date _
r.,ontractor H Emerk k Emert - _-
Size of connection
4n Aspessment. ..�.. .� _..__ ._ Paid