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8985 SW CENTER STREET-1 1 , 00 00 u, r_ m rt M rt 1 1 1 i I 8985 _)W CENTER S'T'REET Address $ (7 ,j _ Permit No. Name of Occupantl�-/,jL Permit charge -- Paid by -----...--------- - Date connected Type of Building . � ---------_ —__.—_---- Inspection fee____-_ Service Rate_ 7 ./,'% _ Paid by Contractor.---- _ —_ _ Assessment Size of connection