11770 SW MANZANITA STREET AMORIM
]1770 SW MANZANITA STREET
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Addresa&��' Permit No._�
Nacie of Occupant __ Permit char!re _.2
Connection fee
Paid by_
-- ----- -- ------- --- --- - - .- Date connected
Type of Building_ Inspection fee / 0,
Service �'3te _.. _.— Paid by _. -_ --.Date-_
Contractor Assessment Paid
Size of connection _Al
PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N° 1043 DATE
PERMIT IS GIVE'S TO
OF -�
TO rG'SNEC1 A
TO THE SYS:EM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED 014 THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLFTED.
PERMIT FEE PAID $ .. .. .........................TIGARD SANITARY DISTRICT
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CONNE(710N INSPECTUD AND APPROVED
Date Superintendent