11835 SW TIGARD STREET 11835 SW TIGARD SnO
..M
I
Address Permit
Permit charge .,__
Owner Connection fee j'L
Paid by_
Type of building .4d Date connected
Service ratc I-aspection fee C;:u
Contractor— Paid by Date
Size of connecLion Assessment --Paid
3552-
PERMIT TO CONNECT
'Tigard Sanitary District
PERMIT N? 1411 DATE
Pf?RMIT 1.1, GIVEN TO
OF
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MIST BE POSTED ON THE DESCRIBED PREMISES UNTE',CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
1�
PERMIT FEE PAID IC...................................TIGARD SANITARY DISTRICT
C(INNECTION INSPECTED AND APPROVED
'3
-------- Date