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11631-11635 SW 114TH PLACE rrw w 11631-35 SW 114TH PLACE I ri a u 3 ,n cn �o �o I Address .11 4-th Fe r m., t No 34 Permit charge Owner Corinection fee 800.00 Paid by__jh, Loewer Type of building Date connected—.— Service rate– d-&1ex Inspection Contractor Paid byLame _--Date Size of connection— A ss,es s in e n Pai.d