12405 SW 124TH AVENUE-1 12405 SW 124TH AVENUE
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Adsress 12405_ S.W. 124" Pcrmit No. 1462
Permit, charge
Owner Conne^tion fee 375.00
Paid by Vance Lee „
Type of building Re:3idcr,ce Date connected-2'1-71
Service rate Inspection fee2; .01)
Contractor Vance Lee Paid by Came Date
Size of connection /1" Assessment Paid
PERMIT TO CONNECT
Sys�
Tiaard Sanitary District
PERMIT N� 1462 DATE f`
PFRMIT IS GIVEN TO
OF
TO CONNECT A
TO THE SYST;,q OF TI ARD SANITA'?Y DISTRICT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PRE ES UNTIL CON-
NECTION Is MADE AND INSPECTIOF OF CONNECTION IAS BEEN COM-
PLFTED,
PERMIT FEE PAID p.... _............................TIGARD SANITARY DISTRICT
By
CONNECTION INSPECTED AND APPROVED
__—Date Superintendent _.