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PERMIT TO CONNECT
Cky of Tigard
Permit Nc) �49 DATE64—_—
PERMIT IS GIVEN T0._we_A..f_!'tA__� { ---
TO CONNECT A
TO THE SYSTEM OF CITY OF TIGARD
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL. CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COMPLETED.
PERMIT FEE PAID ¢_ CITY OF TIGARD
By.
CONNECTION INSPECTED AND APPROVED
Date dent