10300 SW MEADOW STREET 10300 SW MEADOW STREET
P
i
v
P
PERMIT TO CONNECT
City of Tigard
Permlt AT? S92 DATE __ �/�✓6�0
PERMIT IS GIVEN TO _-�_�P (,l 1e -✓7LJ,--OF
TO CONNECT A _✓+1�� .K--- � _
TO THE SYSTEM OF CITY OF TIGARD
THIS PERMIT MUST BE POSTED ON THE DQSCRIBRD PREMISES UNTIL CON.
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COMPLETED.
PERMIT FEE PAID $ - ___._.-.CITY OF TIC, /
c 77
By
CONNECTION INSPECTED AND APPROVED
Date SupirinMr4 nt
r
A
1-1771
1
Address /0 3 O u �(% ��'j,� r,, d-, Permit No._6
Name of Occupant__-_ _ Permit charge-?
--_-----_-__. -___-_ Connecticn fee .1 .S d
_ --- --- - _--- - --------- Paid
- Date connected // - J.-&6
Type of Building Inspection fee
Service hatePaid by --Date-
Contractor.
ate_Contractor. __- Assessment Paid
Size of connection