14590 SW 87TH AVENUE-1 14590 SW 87TH AVENUE
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Tigard Sanitary District
PERMIT N? 1 1." O DATE
PERMIT IS GIVEN TO Wil ?
TO CONNECT A /
T')THE SYSTEM OF TIGARD SANITARY .DISTRICT
AT
THIS PERMIT MUST HE POSTED ON THE DESCRIBED PRR1kUBW UNTIL COPE-
NECTION IS MADE AND INSP3CTION OF CONNRCTION KW RUN COM-
PLETED.
PERMIT FEE PAID $...-.. ........................TIGARD SANITART DISTRICT
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—del 1,
CONNECTION INSPECTED AND AP116ft
DataSuperintea�eat _.�-
lddressL/ Permit No. -LI
Permit charge .2
)wner Connection iee
Paid by__ _
Cype of Building—,'Aw __ ,_ — Date connected__._,___
iervice Rate Inspection fee,!"-,#---
;ontractor Paid by__ Date
aize of. connection���__�_ _ Assessment Paid