11460 SW TIGARD STREET 1
11400 SW TIGARD STREK
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Address_ Permit No .
Permit charge
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Owner_ �• n�,[,�_ C c� � Uonnection fee �7
Paid by
Type of bui].0 ing Date connected
Service rate _ Inspection fee
Contractor Paid by Date
Size of connection 4� Assessment_ —Paid___..
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PERMIT TO CONNECT 4
Tigard. Sanitary District
PERMIT N9 1384 DATE
PFRMIT IS GIVEN TOTOF
O CONNSECT A 7
TO THE SYSTEM OF TIGARD SANITAi N DISTRICT
AT
THIS PFRMIT MUST BE POSTER AN THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
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PERMIT FEE PAID $........&„7.?,,...,. .....TWARD SANITARY DISTRICT
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CONNEC'T'ION INSPECTED AND APPROVED
— Date—-- — T-- ---Superintendent