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� <br />_�� <br />T� antTiNG ��'2'`�� � �TILITIES <br />PERMIT <br />/� �/fP� w�, o H r �-�- : <br />i <br />" a�i�� \,�` <br />oZ`� I�''I I 1va$5�� <br />-, � -� � <br />CMWO ,# � <br />Date: 10/26/94 �Change <br />Service Addresa: 2917 NASSAU ST <br />�Hilling Name: NALBACH LARRY <br />Billin Addrese: 2132 HIGHLAND AVWA g8201 <br />city, �tate, Zip: EVER252-�450 <br />Phone: p pddn: <br />tion: Lot 0 91k pp, of Units: , <br />Legal Deecrip Fronta9es <br />WATER SERVICE � <br />O Application No• <br />S.O. No. <br />Fixed:, Deposit: <br />Svc. Size: Svc. TyPe: <br />By— <br />Setter lnstallation Date grai <br />Size�� <br />Meter No.� BY <br />Meter Installation Date�� <br />Locked Out__ <br />Water On� off� <br />Aemarks: <br />TSG�� <br />By <br />SEWER SEAVICE <br />rm o.: <br />LID No.: <br />Yermit Type� �TERATION <br />gyetems Development Feee� Water <br />Sewer <br />Bond III Connection ChargeTrunk <br />Lateral <br />Remarks: <br />� / .�� /�� <br />Inepected by <br />$0.00 <br />Water Permit Fee: <br />Sewer Permit Fee: <br />$0.00 <br />$0.00 TOTAL: <br />$0.00 <br />$0.00 TOTALe <br />e �—�-� <br />Grand Total: <br />$30.00 <br />$0.00 <br />$0.00 <br />$30.00 <br />Public Worka Copy <br />