11960 SW MANZANITA COURT 11960 SW MANZANITA COURT
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WoV.LVAMN2 ANItA CF. Permit No.—�&&.
Name of Occupant_ Permit charge
Connection fee a-t, 0
Paid
Date connected --2/
Type of Budding__86_.�________ Inspection fee
Service Rate- Paid by Date-----
Contractor Assessment____ Paid
Size of connection
PERMT T T4 CONNECT
Tigard Sanitary District
PERMIT N° 986 DATE .
PIiRWT IS GIVEN TO ---
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TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS P. .iMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON•
NECTIVN IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED,
PERMIT FEE PAID ... .........................TIGARD SAN14 ARY D19TRICT
By
CONNECTION INSPECTED AND APPROVED