8335 SW HUNZIKER ROAD 8335cW mmZ!KHk STPEET
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ADDRESS -3 3a �`' �/ _ PERMIT
PERMIT C;iARGE none
OWNER ')XI� CONNECTION FEE
PAID BY
TYPE OF BUILDING _ �k� DATE CONNECTED
`iERI!ICE RATE 6?/„�{,�,y� A INSPECTION FEE
CONTRACTOR .__ PAID BY _. DATE
5I1_F 0F' CONNECTION � i�' ' ASSESSMENT _ _ PAID � y
J
iw s qwJL w_ Nw 0_ oas
October 12t 1973
Mr. t,l. Adair
0335 S.W. Hunxiker
Tigard, Oregon 97223
Pe: rawer permI t #4986
Uear Mr. Adair:
61e feilec t.ca cutjact. p, sewer inspectiun fee of V5.00
When your sewer germit was issued on Auquat 26o 1.973.
Please remit thr, %25.00 as soon as possi►.:ls.
Thank you,
Nick Hiebert
Director of public �4rvicee AMM FeciliLiaa
NH/fa
WERAGE AGENCY No
t-)NIFIED N coDAlt
WASHINGTON UNTY 71-,64V
I WE g CONNECTION pFRMIT
APPI-ICATION F08 SE
CYWNtf% m LAI /- 41AI964
–Off
owNEWS AVORESS
fir
ell qj,()CK ADDITION
BUILDING 511E TYPE ()F 0(;r,,)PANCY
IA,,( L01 NO C)ry
FIXTURE UN'"'
DWELLING U�" S
APP0CA-SLE
—
da -- TOTAL C)[pO51TfL)
460 ..- _11()N FEV
P[.RIIAIT FEE
N t Mr1:1 4--c-111 ) BUILDING SEWER ApPICY
,tt, 101 futs, **Wi
AVP0C,AN
SEINER PERMIT
THIS P[plyAlt A0lI+ "I115 (;oNNtr-TION TCI THE "qy"
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i%I INVAI.LEP
t 00 volf .;� -7—,6,.oeV
acct rvt D BY its
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CITY OF ICARD
I
Date Amount $ CIO]
vim/Y
M� `,L "ro c.J— dollars
.u.n.
tJamee. Cash
Address Check
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Hldg ❑ St,opng. Bus.l.ir. ❑
Plbg ❑ Pubons. L 6 Lic. Lj
rlal ❑ Copies ❑ Sow.Seiv. ❑
Sewer Filing ❑ Fine&F Ll
hssml. ��❑ ether �j Zoning
for. Lis LL V T , -.�..1.1c h CJ241�
Permit W
8789 C', TIGARD i44aa�t.—
I
Address Permit No.
Name of Occupant--_ Permit charge
Connection fee t
Paid
Date connected
Type of Building --- --- Inspection fele
Service Rate Paid by Date
Contracior Asseagment Paid
Size of connection