11740 SW SUMMER CREST DRIVE 11740 SW SUPLIER CREST DRIVE
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Address /��/`rL� K c� `;c� , ��� a� ('��� Permit No.
Permit charge
Oumer " t�c Connection feel
Paid by_
Tvpe of building Date connected ;7e,
Service
Service rate, Inspection fee_
Contractor Paid by Date
Size of connection 4/i/ Assessment Pa i
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PERMIT TO "l'__'.0N NECT
Tigard Sanitary District
PERMIT Yl V 7 3 DATTT 11—, ?�_•_ 7l?
PERMIT IS GIVEN TO
OF
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
ATTHIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE ANT'- &,!4PFCTION OF CONNFUI ION HAS BEEN COM-
PLETED.
PERMIT FEE PAID ;.... ..::.:............._......TIGARI) SANITARY DISTRICT
By
CONNECTION INSPECTED AND APPROVED
Date Sup-rintender ,
Mutt=s,csma.2z pqurity Oregoaz
TD - —------ - -
Dite --
WHILE YOU WERE OUT
of
Phone.
TELEPHONED PLEASE CALL
CALLED TO SEE YOU WILL CALL AGAIN
WANTS TO SEE YOU RUSH
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