11930 SW PACIFIC HIGHWAY 11930 SW PACIFIC HIGHWAY
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��—/���._._ ��--1-�-��— Permit No._�
Name of-O�cc/upant Permit charge
Connection fee--_
— ---------- Paid by_ --— — ----— —
DMe connected.
Type of Building„,W — Inspectio„ iee__-- --
Servire Hate2 ' d Paid by Date----------
Contractor—�-- u� Assesswent __---
Size of connection
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