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12103 SW 125TH AVENUE 12103 SW 125TH VIENUE 1 y 7 G y d, {J Ln N Ln 3 M O_ N 1 Address 12103 S.W- 125th Ava. �.,. .. ..m.-. Pers" v No. ._..,47%'1 Permit merge Owner C. B. Shirley Coni.^e ctlon fee Paid by C. Be Shirle.y.,_.. .._. .. .._._ �.... _.. Type of building Residence - Date c;onnected 10-2�.'��_._.,-. __... ...... Service rate 3.000,per month Inspection fee - 25 .,...._ .._� ,�_.... Contractor C. Be Shirley Pwd by rune Size of connection 4#1 Assessmavit, Fail _,..._.. __ . . . oG 0 i