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1=11V 1� ,t:«•,: . '�� :i: :.1° i:• ♦ ��i:i' � 1' ;j:�+:: I;r' <br />1:•. ��,:� + ;�� •* � � • <br />F ` - - '� '4_;� <br />1 : • • • • <br />�sa_ 195 w. Iaa�pe�teur <br />��.���n.��� w�.�r� <br />Add,. �'or legal 5Z6 Gl�ood Ave. <br />tbde No. 79-:n�y0-200-t�6 <br />Legal Descri ption t <br />R�]1i.ng t�reen <br />1� of Ict ?1 e�d a�L1. oP Iot 20, 81ock 6 <br />t�ount sae��e�� Por �ever $_ 453•75 <br />� tp� 2331�) <br />i'rt. l,�t. 75� <br />: �tti.oaa�. ahaacges $ <br />$50.Ot? dacpoeit by coatractor tor <br />s��*eot x�setorstion <br />�, . <br />�bta1 amount due $ <br />l�onnt as�essed �or Wat�r $ 356�25 <br />(p• �) <br />tt't. lat. 75' <br />l�dditional charges $ <br />No serPice inetal].ed. or aeecsecd. <br />Will hav+e to contracteci �or inetal]atioa <br />by Vi7lage a�d eharged to owner at time <br />building pe�ud.t issued. <br />1" xster aes�ric�, $210.00 <br />In'�sice l�fo. Amount $ <br />�`�ceipt No.. A�unt $ <br />� <br />'Paytnen�.: rea��ec1 _by <br />� �a].culation by . <br />, ,:, - <br />� -� _ <br />� �5 ' <br />b' ] <br />�� <br />er - <br />.! _` r �� - . � - - . <br />r �'r� �rv� fi �' . '. � - . " . <br />F Ec t: <br />Y �� � � <br />"''�� °� .oE�:. _�: . <br />DQted � <br />Dated <br />... <br />..i <br />� <br />Return ori�.na1 io Engineerl.ng <br />