11390 SW 92ND AVENUE-1 11390 SW 92ND AVENUE
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Address--Ql� QAterc-*.,.! No..
Name of Occup,,nt. _ Permit charge_
Qmmechon
Paid
---------.�--- ------ Date connected
Type of Building Inspection fee_
Servi,e Rate` — �� Paid by Date
Contractor_ _ Assessment- LCL,Q paid
;ter of connection �v�7