13900 SW 115TH AVENUE 13900 SW 115TH AVENUE
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Address 13900 S-W• 115th Ave. Permit No.
72-1b31
Permit charge
owner Mrs. Be� Jacobs M
Connection fee 400
Paid by Columbia Custom Homes
_ _ _ ----
Recideure Date connected 9—7-72
7,ype of building, _ �__...�
;service rate3Osr month__
Inspection fee 2_5
Contractor Columbia Curtom Homes_ _ Pad d by saSOe ��-�-m-- ate -
VAssessment _ paid
Size of connection _..._..._- -'--'
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