8875 SW CENTER STREET-1 1
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8875 SW CENTER COURT
Address � � Permit
Name of Occupant _ _ Permit charge
Connection fee�S sj� ---
-- Paid by
--- ---�--- Date connected
Typo of Building 51u ;aspection fee
Service Rate �� . _ Paid by Date`-_
Contractor_ /JLL�-�t flLc.y s-ad Assessment Paid
Size of connection