13125 SW PACIFIC HIGHWAY I
13125 SW PACIFIC HIGHWAY _..._
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Tax Lots 20 20a and 2.1 North Tigardvi.11e Addn
als0 6a Assessment 5563,45
in School District 4217
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Address ' s�'Permit No.—
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Name of Occupant Permit charge
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Connection fee
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Date connected 'Y
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Service Rate_i� -� � Paid by� te,��V---Jj--
Contractor./ _ _ _ —._ Assessirent.y� —
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Size of connection
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