10955-10957 SW 121ST AVENUE-1 10955-10957 SW 121ST AVENUE
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ADDRESS Le,l f ? C(� / � .� u� PERMIT NO. /5IS�)
PERMIT CHARGE none
OWNER .1 ,� /,� CONNECTION FEE
G/ ,
PAID BY
TYPE OF BUILDING DATE CONNECTED
SERVICE RATE INSPECTION FEE
CONTRACTOR PAID BY DATE 1
SIZE OF CONNECTION ASSESSMENT PAID5-5