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11799 SW PACIFIC HIGHWAY 6WA M I 11799 SW PACIFIC HIGHWAY I x u w u cti 0. O� O� n s I � - — Address Permit No. G- Name of Occupant_ _ ,_ Permit charge 61 Paid by Date connected Type of Building_��`���-s Inspection fee CJ Paid by DateService Rate U ` ___ __ _ Contractor //// Assess ent._____ _Paid— Size of connection '�f kl- PaeAddress Permit No. Name of Occupant_ Permit charge 'Ar 11(tu --- _— _-- Paid by__ _ s Date connected 1 Type of Building Inspection fee - Q ! Seri ice Rate G Paid by _ Date Contractor — Assessment Paid Sire of connection