11930 SW SUMMER CREST DRIVE 1
11930 SW 3UmMER CREST DRIVE
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PERMI TO CONNECT
Tigar-1 Sanitary District
PERTAIT N° 1106 DATA
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PFRMIT IS GIVEN TO _._, -----
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TO CONNFCT A
'1O THE SYSTEM OF'1!GARO SANITARY DISTRICT
THIS PERMIT MIIAT BE POSTED ON THE DDISCRIBFD PRi:*11SES UNTIL CON-
NECTION IS AND INSPECTION OF CONNECTION NAS BEEN COM-
PLETED.
PERMIT FEE PAID $. ._...... . . .........TIGARD SANITARY DISTRICT
By
CONNECTION INSPECTED AND APPROVED
—_ -- -- Superintendent
Date
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//930
Add r€s s _ Permit No. �
---
Permit charge_
Owner __ Connection fee -- �
P A'i ri b V
Type of building_ Date connected _
Service Rate Inspection
Contractor) �,d.�1 L'h .Paid byL i��_ Date
Size of connection Assessment _----_. Paid
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