11985 SW NORTH DAKOTA STREET pw11985 SW NORM DAKOTA STREET
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PERMIT TO CONNECT
Tigard Sanitary District a
PERMIT N° 911 DATE -------
PERMIT IS GIVEN TO -----
OF ---
TO CONNECT A
TO THE SYSTEM OF TIGARD 8A- 1'ARY DISTRICT
AT
THIS PERMIT MUST 'AE POSTED ON THE DE,9CRIBED PREMISES UNTIL.CON-
NECTION IS MADL AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED,
PERMIT FEE PAID $...._....... ....................TIGARD SANITARY DISTRICT
By- - - --- -- - - --------- - - --- - -- ---
e
CC NIVECTION INSPECTED AND APPROVED
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Superintendent
Ad dres4//—FAWJW- Permit No.
Name of Occupant_______ Permit charge
Connection fee
Paid by
Date connected
P7
Type of Budding Inspection fee
Service Rate Paid by -Date----
Contractor
Assessment Paid
Size of connection