10925 SW MIRA COURT 10925 SW M:iRA COURT
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10925 S-w- mira Permit
Address_— Permit charge_--------------
Connection fee.
Owner Paid
Date connected___—------*......
Type of building _ Residence Inspection fee.--45-&�-'-""'
Service rate—,—Ji—011 Date ..
Paid by__----- -- �
D.W-U-
C o n.t a c t 0 A s s e s sme n
Size of
PERMIT TO CONNECT , . a",*v
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Tigard Sanitary ]District
PERMIT N? 15'53 DATE /�.,'
PERMIT 1S GIVEN TO � --
OF .- -- ------ ----_—_ ---- �_
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PRE311SES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECI'ION HAS 1IFF'N COM•
PLE CFD.
PERMIT FEE PAID $14..(:.. ................
TIGARD SANITAR%v DISTRICT
'..�.. By
/W MMM \�Artir�MA MA/�hAMA A�4�A�rA W�AA/AA
CONNF.'C'FI0N INSPECTED AND APP11OVE10
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Date __- Superintendent