13540 SW VILLAGE GLENN DRIVE i
13540 SW VILLAGE GLENN DRIVE
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PERMIT TO CONNECT
Tigard Sanitary District
DATE
PERMIT' M 956
PERMIT IS GIVEN TO -----
OF _-- - ---------_"
TO CONNECT A—_- --------4--To THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT M6UST BE POSTED ON E AND NBPECT ON O E CONNECT ON EHAS�BEENI�COM_
NECTION IS MA
PLFTED.
.....TIGARD SANITARY DI'3TRICT
PERMIT FEE PAID �..... .......................
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CONA' ~TION INSPECTED AND APPROVED
�_______�__ ^�prri►if t1d121it
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Address Permit No. 9j C.0
Name of Occupant _ _ Permit charge
Connection fee
_ Paid by_—__.. —
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Date connerfed ___- ---------_ --- -- #
Type of Building__ Inspection fee _-
Service Rate--------- _ --- - --- --- Paid by Date--------
Contractor
ate__ —e_--Contractor _ Assessment Paid
Size of connection