11737 SW PACIFIC HIGHWAY 11737 SW PACIFIC HIGHWAY
i
1
ad
u
.A
w
..4
u
cv
w
oft ARM I
3
M
n
r
1
I
� ?
Address ddc_._ SIL Permit No. 2 9�
Name of Occupant` _ Permit charge
12
GOMMMAk n-480
Paid by
L-.te connected
Type of Building /,) Inspection fee- _ 9
----—- — -
Service Bate__ Paid by Date-__
Contractor_--_..-------- ._.__ — Assessment
Size of connection_, 4e2:3