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PERMIT TO CONNECT
Tigard Sanitary District
PERMIT V 1044 DATE
PER311T IS GIVEN TO —
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TO CONNECT A
'TO THE SYSTEM OF TIGARD SANITARY DISTRICT
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AT _ II THIS PERMIT PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON.
* NF.CTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID ;._......'...........................TIGARD SANITARY DISTRICT
By
CONNECTION INSPECTED AND APPROVED
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Address// 4: _ Permit No. IJP4 _
Name of Occupant Permit charge Z
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^aid by _
Date connected_AV
Type of Building .s�J_ Inspection fe. /Q____
Service Rate Paid by ____._.._.___Date_
Contractor Assessment Paid _
Size of connection
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PERMIT TO CONNECT
Tigard o'l-' - nitary District
PERMIT N9 1039 DATR --- - -- —
PERMIT IS GIVEN TO
OF
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID ....TIGARD SANITARY DISTRICT
CONNECTION INSPECTED AND APPROVED
Date Superintendent —
Address //OS'S%d-LtJ//9G�_ Permit No.—I b.?G
Name of Occupant Permit charge 2
Connection fee ASO
Paid by —
Date connected 1 -.2 V - 7
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Type of Auilding/ Q/J Inspection fee-j_
Service Rate Paid by _—_—Date _
Contractor _ Assessment Paid
Size of connection--
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