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11735-11745 SW 95TH AVENUE 11735 & 11745 SW 95TH AVENUE i v 1 v 7 N d u �n rn s Ln .7 h I � in C�1 h Address 11 '75'- 2175 '03. 11 �`�'h Are. Permit No. Permit charge Owner Connection fee ? '} '• Paid by ' Type of building Date connected - Service rate ;. rl Inspection fee " • ' ' Contractor ob Paid by Date Size of connection ' " Assessment Paid ________ -7 y.5 4� .-mPERMIT TO CONNECT � V75A Tigard Sanitary District `a R PERMIT N? 1528 DATE - --- PF..11MiT IS GIVEN TO � � TO CONNECT A TO THE SYSTEM OF TIOARD 8 NITARY DISTRICT k rr THIS PERMIT MUST BE POSTED ON THE DESCR1181CD P MI818 UNTIL CON- NECTION 19 MADE AND INSPECTION OF CONNECTION HAS SEEN COM- PLETED. PERMIT FSE PAID $..........���' .............TIGARD SANITARY ISTIIICT 3 CONNeCTION Wf/PECTED AND APPROVED Da+e