9690 SW LEWIS LANE-1 969C SW LEWIS LANE
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Address La Permit No._____�______.___._._._
Name of Occupant Permit c;tar a
Paid by ......
Date connected
Type of Building,,- Inspection fee
Rate
Service ._—__,) �._— __ Paid by _. Date
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Contractor --- - Assessment_------ - Paid ---.-_--�-
Size of connection G/