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11830 SW GREENBURG ROAD-1 11830 SW GREENBURG ROAD i i i I� 1 J an G Q1 v L 3 O M to 1114 ` 'pp � Address,11�.3� ��1, � �'u"f i. Permit N -�_ p�— Name of Uccupapy%r.S Permit charge Paid by- — Date connected Type of Building Inspection fee— Service Rate j(' G C) _ Paid by _ Date Contractor_ _ _. Assessment_; Size of connection i � 1 Address,_ / 3D.�l !, �QP�, ZC �`� Permit No. Name of Occupant✓/ J_444=a�f Permit charge Connection fee Paid by Date connected Type of Building __-- -- -- Inspection fee-- -- ------_____— e Service Rate Paid by Date__ Contractor_...-----_----_—_-_ - _ _- Assessment -L14 Paid Size of connection