10345 SW HILLVIEW STREET-1 10345 SW HILL VIED STREET
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Permit No.
Name of Occupant.-_--_. _ Permit charge
Connection
Paid
Date connected .2 eo- 7
Type of Building Inspection fen--10
Service Paid Ly
Contractor Assessment___ —_Paid
Size of connection
PERMIT 1'O CONNECT
Tiga.ra Sanitary District
PERMIT N9 1042 DATR
PERMIT IS GIVEN TO !f., t • '/ i__
OF
TO CONNECT A
TO THE SYSTEM OF TIC.A111) SANITARY DISTRICT
AT
THi:% PERMIT M118T BE P-tSTED ON THE DESC'RTRED PRENTISRS UNTIL CON-
NT,GfION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PL;�:TED.
PER NIT FEE PAI)) ..._ ...........................TIGARD SANITARY DIh TRICT
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CONNECTION INSPECTED ANTI APPROVED
Superintendent—_____..W _
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