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12476 BROOK
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Address 124'(6 S.W. Brook Ct.
Penui t No. T2-1636
----- -� Permit eharge
Owner _ Alla:). 1'citerson ---�...._......._........��.._,. ,�,,..�
_ Connection fee 40o
Paid by :;ame
Type of building Residence
Date connpc,Ged. 11-29-72
Service rate ,3.00 per mo.lth Inspection fee —-
Contractor Same � 25
Contractor
-- 'aid by same
Date
Size of connection 411 ��—�—
Assessment ------...r_ Paid