9240 SW CENTER STREET 1
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9240 SW CENTER STREET
MOMMOMMSUMMLA
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Address (. _ Permit No.
,x
Name of Occupant__ Permit charge
Paid by
Date connected
Type of BuildingL6-e. 2. Inspection fee
Service Rate---2 (7 Paid by Date
Contractor Assesament &, A, a&—Paid--
Size of con ne--tion