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11975 SW PACIFIC HIGHWAY 11975 SW PACIFIC HIGHWAY 1 a�d u w u c� ar ;3 Lr) rn 1 Address Permit No. Name of ©ccupant7,.td_.j,&;tg4 YlX.� _. Permit charge � �rl�� GLv1-vLLI. V tz C�ee#ieit�ee_ ' Paid by Date connected Type of Building& _. __ _ ________ Inspection fee_ _ Service Bate_ d _ Paid by .- Date— Contractor.--------- ate_—Contractor.__________ _ Assessment T _Paid. _ Size of connection41 i d fa■�