11690 SW MANZANITA STREET 11690 SW MANZANI`i'A STREET
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Address 7Q 1J yaJ � Permit No.—
Permit charge°
Owner Connection fee _
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Type of Building Date connected
Service Rate Inspection fee
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:size of connection��� �� Assessment _y—Paid
PERMIT TO CONNECT
Tigard Sanitary District
PERMIT No 1093 DATE)
PERMIT IS GIVEN TO +L t ,f �.f�2 , - C ,, r •y 1
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OFA ------=1lsSrs._.�c:k �..—Y_-Q/ a x-v. ' �',/•+_1, /�
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TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
THIS PERMIT MUST BE POSTED ON DESCRIBED PREMISES UNTIL CON-
NECTION IS MAIZE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE -AID �.._ ..::...............TIGARD SANITARY-ISTRICT
BY--- - ------- -- - - ------
.M�wwr
CONNECTION INSPECTED AND APPROVED
-Superintendent
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