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8845 SW CENTER STREET � 1 w OD 4 vl C) 2 rt H rt i 8845 SW CENTER I� � �� a Address U � � � Permit Nu. �i��c� i! Owner a ,ti Connection fee ,:45 3 /a Paid by Type of BuildingDate connected Service Rate ,( Inspection fee Contractor �t� 6 �, rr2'�� ) Paid by �_ Date �Sl� i/ J Size of. connection Assessment —__Paid Address. , ks �' Permit No. Name of Occupant f'?-YL�D , .L�•� �� Permit charge - ----- ---_- -- _-��--- — — --- Paid bq--- -- — --- ---- - — Date connected Type of Building Col. Inspection fee___ Service Rate- —_ Paid by Date Contractor-.. _-- _ AseesRment_ ' /C'I J�-' Paid -_-- -_------- �r .---_--�-� Size of connection