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11700 SW PACIFIC HIGHWAY 11700 SW PACIFIC HIGHWAY I 3 x u .r u U M n f I Address //jC._� ,r�1rJ ' �' ,�u Permit No Permit charge �`� Owner', I L-(1 .e", Connection fee s Paid by � J Type of building_ cv _ Date connected '/b�� Service rate TL7L:.�. Inspection fee _ Contractor Paid by Date Size of connection Assessment_ Paid 4�P cp-k� Xle �r �4 t4 i I i PERMIT TO CONNECT Tigard Sanitary District PERMIT N° 1317 DATE W. PFRMur IS GIVEN '1'O OF TO CONNECT A TO THE SYSTEM OF TIG IRD SANITARY DISTRICT AT THIS PERMIT MUST BE POSTED ON THE DE5CRIR:sD PtWMISES UNTIL CON- NECTION t13 MA►IE AND INSPECTION OF CONNECTION HAS BEEN COM- PLETED. PERMIT FEE PAID $..,...............................TIGA.RD SANITARY DISTRICT By CONNECTION INSPECTED AND APPROVED Date Superintendent