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12825 SW GRANT AVENUE
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Ac:drPss 0 f.2.5-_ J.GV. CakAN Perr.,,t No.
Name of Occupant A". ��
Perm.. charqL
Connectior fee �C '
- - —.. -- - -- Paid by \j J. /f 1EE l Y
Date connected
Type of Building -5 DeNcF Inspection fee__--_ _
Service Rate ';C
- Paid by Date
Contractor__ ___,,". / , /l�(F l
- Assessment_...-- - _ Paid _
Size of connection
- -
Tax. Lot 2 SI 2 BC 1000 23-10
North Tiga.rdville Addn /
Assessment 472.67
Lateral 69.75
542.42
11-1-61 $27 . 15
& SA thereafter
Address / ';�z) " WZ-4a ,,j Permit No.
7
?damp of !occupant Permit charge
Connection fee (4
-- - ---... Paid by-4Z e
(7
Date connected
Type of Building Ins ecticn fee-_ , 0 d
Service Rate 1"(10 L'G' Paid by /•
Contractor_,[�� A
U
aseasment-J'�6;2,1$�C._2_Paid
Size of connection I __