10900 SW MIRA COURT-2 10` 00 SW MIRA COURT
v
m
u
v�
O
Q�
i
"T
Address 101)00 S.W. Mira Ct. Permit No. 7.587
Foexrit charge
Owner Cmmectii-)n. fee 400.00
Paid by D.a.J. ...,�.,..m.o_
Tyke of building _ ,..,..,�......._ Date connected ,...�. ..w..�.._.._.,, ... �...,.o...,...� '
service rate .00 der month Inspection fee 25.00
Contractor DoWW.D. Paid by D.W.D. Date �
Size of connection Assessment Paid
PERMIT TO CONNECT b 7"
Tigard Sanitary District
PERMIT N? 1587 „ATE
PERMIT IS GIVEN TO
OF
TO CONNECT A '
TO THE(SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PRLMTSES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID $............ 1:�?C.t.. .. .......I'IGARD SANITART DISTRICT
fsl:+ 11J4.�,. tai.« flg
11.1°-....�?-'--4.-t -----
CONNUIC)ION INSPECTED ANI) Al'PROVED
—__..-----------
Date Bup�Mntenr�nt
v