12580 SW 124TH AVENUE 7'
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Permit No . 15�`. __...
Address 1.2580 S. ',v. 124th __-
Permit charge, _,__
Connection See 400.0_0
Owner
Paid by Join Lor�wer _
-------------------
Late connected 10-21-71 --
Type
`)-21-71 _..-_.-..__-.
Type of building ci" ' • "'
Service rate! _ Inspection fee -
Paid by �'
i�,1:n L o� �.�e r �-----------•Dat -,__..._.._.-..._..._-
Contractor. -
,i++ Assessment .P a i-d-_____-,_..-__
Size o f connection _ --•-�-""—"""'
PERMIT TO CONNECT 401
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Tigard Sanitary District V
PERMIT N? 1527 DATZ
PERMIT I9 GIVEN TO
OF
TO CONNECT ATO THE SYSTEM OF TIWARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE PO lTED ON THE DESCRIBED PREMISES UNTIL CON-
F17CTION IS MADE ANP INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID !1 .._.......� 1...............TIGARD SANITARY DISTRICT
By
CONNECTION I"PECTED AND APPROVED
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