14463 SW PACIFIC HIGHWAY 14463 EW PACIFIC HIGHWAY
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PERMIT TO CONNECT
Tigard Sanitary District /_.:2-.f,?7-71
PERMIT N? 1555 DATz /.Z -.2 7- 7
PERMIT IF GIVEN TO
OF
TO CONNECT A
TO THE SYSTEM OF TIGARD SANI'T'ARY DISTRICT
AT
THIS PERMIT MUST BE POSTED ON THE" HIED PREMISYS UNTIL CON-
NECTION IS MADE AND INSPECT] Ca N1 -ION HAS BUIPN COM,
PLETED.
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PERMIT.FEE PAID SANITARY DIST ICT
-A By
.0%0%
('ONNE(',.ON INSPECTED AND APPROVED
Date Superintendent
Address 14.1+63 S.W. PaA-f e Hwy. _ ____, Permit No.— 1555
Permit charge,_,_„__._.._
Owner c �,,� ,�.f ,_� Cornuction fee 400.00
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Paid by wes&ypog Construct inn
Type of building Commercial +� Date connected
Service rate 3.00 uermonth Inspection fee 35,00
Contractor Westwood Cc~structio, _ __ Paid byUtyvnnd comet. Date_
Size of connection___ +” _� Assessment�i� Pa.Ld_______r