10325 SW MEADOW STREET I
10335 SW MEADOW STREET
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PERMIT T4 CONNECT
City of Tigard � �� ►�
Permit No �'7 G
PERMIT IS CIVFN TO__.Y--
TO CONNECT -`--
TO THE SYSTEM OF CITY OF TIGARD
AT_- _)�� UNTIL COW
PERMIT MUST BE POSTED ON THE DESCRIBED
AND INSPECTION OF CONNECTION HAS BEEN COMPLETED.
NETS E IS MADE
CITY OF TIGARD
PERMIT FEE PAID $
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CONNECTION INSPECTED AND APPROVI'D
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- _ guperintendent
Date
Address./A5 Jj-J AFRb_vW _J(1Permit No._ (?7/0 __ Y
Name of Occupant Permit charge
Connection fee_ _.__—
Paid by
Date connected
T;pe of Building _ _ Inspection fee______
Service Aate _ a _—�_ Paid by Date
Contractor ___._ Assessment_..—___________Paid
Size of connection __