11855 SW SUMMER CREST DRIVE 11855 SW SUMMER CREST DRIVE
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PERMIT TO CONNECT
Tigar%r-1 Sanitary District
PERMIT Nq 1179 DATE
PERMIT IS GIVEN TO _Li(„�y/
OF
TO CONNECT A
Tn THE SYSTEM OF TIGARD SANITARY DISTRICT �—
AT_1_!_SLS✓ �"—'—�irit..... 'S.G��`�1.�►,-
TII1S PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NFCTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN C'OM-
PLFTED.
PERMIT FEE PAID ,....TIGARD SANITARY DISTRICT
/ 0
('( NECTION INSPECTED AND APPROVED
t�n�c Superintendent -
i
Address / `rJ1 ��-- ..�•a�„�� Permit No.
Permit charge t _
owner_ Y� ��, Connection fee�,�'c�
Paid by_:� �yT„
T-ne of Building 1 _ Date connected_��
Service Rate - Inspection fee—Z-0
Contractor_�A1 Paid by_ Date
Size of connection_ Assessment Paid-
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