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11545 SW GREENBURG ROAD 11545 SW GREENBURG ROAD �v m ou N r� v v N c� 3 7 �n l f Address �'.i,�'ZPJ Permir No. L----7--- Name of Occupant LC e-%>__,�. ,,� Permit charge—__- __ M a"e a -- --- ---- - - — Paid by----- -- -- -- ---___---_ Date cont,ected D ' Type of $uilding Inspection fee _ Service Rate Paid b — ---- v — —--Date--- Contractor.--------- —DateContractor.-____-- _ Assessment. �C� / vL Paid Size of connection.^ -