11920 SW NORTH DAKOTA STREET 11920 SW NORTH DAKOTA STREET
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PERMIT TO CONNECT
Tigard Sanitary District ,
PERMIT M 1102 DATE
PERMIT IS GIVEN Tl�"
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TO CONNECT A
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TO THE SYSTEM OF TIGARD SANITARY DISTRICT
ATrTHIS PERMIT MUST BE ."OSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION IIAq BEEN COM-
PLETED.
PERMIT FFE PAID ; ..............TIGARD SANITARY DISTRICT
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COP,NECTION INSPECTED AND APPROVED
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Address / ( �. 0 5 W 7�c, )�� Permit No.`_
Permit charge
Owner_ Connection fee a5&100"
Paid b
Type of Building Date connected
Service Rate _ Inspection fee /Q0"
Contractor G� ` ✓ c �rr, L Y Paid by cart rlaa� Date
Size of connection C,�� Assessment Paid
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