11675 SW LYNN STREET 11675 b4 LYNN STREET
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�,� PERMIT' TO CONNECT
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het"'�ql Tigard, Sanitary District
PERMIT Nil 1469 DAT9
PERMIT IS GIVEN TO
OF
TO CONNECT A_
TO THE SYSTEM OF TIGARD SANITARY DISTRICT'
AT
THIS PERMIT MUST BE POSTi,D ON THE DF4CR� I PREMISES UNTIL CON-
NECTION IS MADE AND IU-PECTION O
PLRTED. CTI
F CONNEON HAS BEEN CUM-
PERMIT FEE PAID ;...................................TIGARD SANITARY DISTRICT
By
CI)NNF,CTION INSPECTED AND APPROVED
Date
�
Address � L- 7 Perm--' t No.
Permit charge_,___
Owner_ �t�e� Connection fee_ 3;A-
Pai.d by
Type of building 161t Date connected—.` 0 tt��
Service rate _ .Inspection fee
Contractor Paid by Date
Size of connection! L2 o AS:.3esSMer,tPaid
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