10945 SW MIRA COURT 10945 SW MIRA COURT
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Address mltIL -..�i.3J..,.�dir1aa.�t,.,. Permit No.
Pervit charge
Owner Connection fpe 400.00
Paid by D.W.D..�..�.�.....
Type of building ue� µPy Date connected
service rate , .�.. ��_...Q.veT._tug ,... ._._@....,_. Inspection fee
Contractor .,.a__..�.D�k�A ,_.� ...� Paid by _.�1Z�1i. .�..,.�.. Date . ,..,_a..,...
Size of connection Assessment Paid
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PERMITTO CONNECT `5 / Q y
Tigard Sanitary District
PERMIT N? 1573 DATE
PERMIT IR QIVEN TO ---- -
OF -------
TO CONNECT ATO THE SYSTEM OF TIGARD SANITARY DISTRICT
ATy
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NEI,TTON -S MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLF,TF'D.
PERMIT FEE PAID $... ...........................TIGARD SANITARY DISTRICT
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CONNE(M. ON INSPECTED AND APPROVED
---- Date ..� -- —..._____...��Supe�Mntendent _ ✓
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