12835 SW PACIFIC HIGHWAY 12835 SW PACIFIC HIGHWAY
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AddressE4 Permit No.
Name of Occupant 4 `' f
�--- �s"-� Permit charge -_
Connection fee
Pair. b
Date connected
Type of Building__-�' � _ - - -- --------_.
* Inspection fee
Service Rate
-- __-_ Paid by Date _
Contractor
`�--- - Assessment
Size of connection _
X. rLC 7.
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