14545 SW HALL BLVD I
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14545 SW HALL BOULEVARD
PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N? 1083 DATE
PERMIT IS GIVEN TO
OF
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
I d
AT
THIS PERMIT MUST BE POSTED ON THE DF,9CRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PIX,TED.
C
PERMIT FEE PAID ..................TIGARD SANT" DISTRICT
---- - --- - - - - -- - - --- -- - - ------- --- -- ----- - ------------W*
CONNECTION INSPECTED AND APPROVED
Date Superintendent
4
Address y5 /�751.) .) / 7 Permit No. l oi-3
Permit charge°"'
Owner Connection fee Sv'(,✓
Paid by
Type: of Building_ Date connected
Service Rate// Inspection feel
Contractor (Jdmac, � !I /4t+tea Paid by�d,,..�e( A f1 sQ ' Date 3- -Z8.
Size of connection y Assessment Paid