11455 SW 98TH AVENUE ,! 11455 SW 98TH AVENUE
i
i
v
a
c
v
rip
Q�
;3
tr)
tr)
Address-111J5
�J".W. q8th Ave. Permit No. 1 0
Permit charge
Owner Russell B. Grow Connection fee 300-00
Paid by
Type of building Res. Date connected 7/27/71 --
Service rate Inspection fee_25.00
Contractor Paid by__ —,Date
Size of connection.. 4" Assessment— Paid
,33-
' 9
7
PERMIT TO CONNECT
Tigard Sanitary- Di,?:rust
PERMIT •� .,/,/�i
rJ° 1509 DATE / 7-
PERMIT I8 GIVEN TO,--:D
OF .!�_.c J -.---��,�L�r.�' c� � C.0 t.•y,4" :i-�.wd'' _____
TO CONNECT A
TO VIE S'YS'TEM OF TIGARD SANITART DISTE ICT ---T___-
AT
TH18 PERMIT MUST RF POSTED ON THE DF9CR1 D PREMISES UriTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN Com-
PLETED. �C':"/J 7 i 6_ / 'ES — Ci r
G�V•i F
Pl11RMIT I"EE PAID.... ........TIGARD SAXITART DISTRICT
BY
NNEI"1'ION INSPECTED A AP�OVSD
LX
Superin#ebBent --
1
AL