11485 SW GREENBURG ROAD 11485 SW GREENBURG ROAD
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Addzeesi � �6k Permit No.
Name of OccupantjLJ,f, ai�_•-•_d�. Permit charge
Connection fee (d U . C C) _
Paid by — —
Date connected _
Type of Building,94 ;�� ;� _ Inspection fee
Service Rate_ Paid by -._Dote 1'�7_
Ccatractor -_ _ . Assessment_ _ _ Paid_--_- -_
Size of connection lv ____