10305 SW MEADOW STREET 10305 Sbd MEADOW S` REEI'
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1
PERMIT TO CONNECT
CRY of Tigard <� _ •�
Permit No S73
DAT!_-Y.
PERMIT IS GIVEN
OF
TO CONNECT q
TO THE SYSTEM OF CITY OP TIGARD
AT 13
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON.
NF.CTION IS MADE AND INSPEfTION OF CONNECTION HAS BEEN COMPLETED.
PERMIT FEE PAID >�_�t1 /
CITY OF TIGARD
By._
CONNECTION INSPECTED SAND APPROVED
01 9 �5�,
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F:
Address
Permit No.
Name of Occupant Permit charge
Connection fee--,---
Paid
Date connected
Type of Building Inspection fee----.--
Service Paid by __Date
ContractorAssessment---- Paid
Size of connection