12785 SW MARIE COURT � w v s. +.a' we ww inn ies
12785 5W MARIE COURT
t
i
U
QJ
H
ro
3
V�
rn
00
N
PERMIT TO CONNECT
Tjg rd Sanitar'r District
]PERMIT N? 1563 IRATE - —
PERMIT JB GIVEN TO
Of
�_.—.. __��_��...----_—__ vim_ __.__..--•---- -
TO CONNECT A�
TO THE SYSTEM OF TIGAnD SANITARY DISTRICT
AT
THIS PERMIT MITST BE POSTED ON THE DF9CRIBED PREMISES UvTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BkEN COM-
PLETED.
PERMIT FEE PAID ..................................TIGARD S�INITARY DISTRICT
BY
.moo Aom1�._010 A ol-A IM���.
CONNECTION INSPECTED AND APPROVED
-- -- Bate Superintendent �- /`
Address 1.2785 S.W. Marie Ct. Permit No. 1563
Permit charge
��! ) 400
Owner ^`�'1t� - �� � � . '"1. Connection. ier.
-.1- -.-L. -I--
Niki by ,`ale Construction
Type of building Residence tate :conne�-Led --- --2-21-7
Service rate 3.00 per. month. . ...,._.. Inspection fee 25.00m�F...., _..�.�.
Contractor Dale Construction Paid by Dale Const. Date 1-17-72
Size of connection Orr Assessment. Paid
5 i
I.�icc. dCij(+t.r30irl; �