11560 11562 SW LOMITA AVENUE i
11560 & 11562 sw LOMITrA AVENUE,
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Permit No.— ,LTJ
Name of Occupant �N�i4'E�2J
_. Permit charge_ .?.me
Connection fee �J00
Paid by _ 60e, /Colzere
--- Date connected lO110 3 _
Type of Building :PU pLCw _ Inspection fee `/D cC t,
Service Rate Al po Paid by (�.�, �loc..F:-'Date
Contractor v C, — Assessment Paid
Size of connection Al-
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PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N? 745 DATE 0()(,
PERMIT 15 GIVEN TOOF
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TO CONNECT A
TO TWIE SYSTEM OF TIGARD SANITARY/DISTRICT
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THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEENT COM-
PLETED.
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PERMIT FEE PAID ...,";..................TIGARif�AlyVARY DISTRICT
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_ __. � IJY RECORDEk _
CONNECT101V INSPECTED AND APPROVED
Date