12135 SW 124TH AVENUE A -
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IAddress 12135 S.W. 124th Permit No. 1625
L, _ Permit charge_
Owner Tualatin Develoment Co. builder Connection fee_ 400.0)
may have to tai; lnrr,,y ant. __ Pai d by Tull nti _Tj&3rE
Type of building t,�_ _ Date connec Leder 4-Z2
Service rate Ir)spection fee__ 25-(y)
Contractor Tualatin Development Co. � Paid by same Date
Size of connection Aseecsment �—Paid�
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PERMIT TO CONNECT
Tigard Sanitary District
PERMI 1? 1625 DATE
PERMIT IS GIVEN TO
OF
TJ CONNECT A +
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT J
TATS PERMIT M11ST BE POSTED ON THE DESCRIBED PREMIl9ES UNTIL CON-
NECTION 1S MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID .......................y .....TIC•:D SANITARY D181:XICT
CONNFLTtON INSPECTS AND APPROVED �� +
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Supertntomdrnt