12515 SW 124TH AVENUE Y
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hermit charge
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Type of building--f--L-1 Date
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PERMIT TO CONNECI S'
Tigard Sanitan- District VVV
PERMIT' N? 13 5 7 DATE
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PERMIT 15 GIVEN TO
OF -j 2-.,S-j�- 12- 4
TO CONNECT A.!!!7t
TO THE SYSTEM or TIGARD SANITARY DISTRICT
THI i PERMIT MUST HE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NE TION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
'.11,ETED.
PFKMI,il FEE PAW TIGARD SANITARY DISTRICT
By
CONNECTION INSPECTUD AND APPROVED
Date snperinteailent