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12645 SW HALL BLVD N Oh 4.- SW SW HALL BOULEVARD �1a Address/ G �f,� x7. G��a'X�2►i-f �7 Permit No.—_ _ --tom--,. Name of Occupants a. UPermit charge 0-i-c.,ax 6 c� �c� ,�c '� - --- - CwrmecttmHee - - — -- Paid by Date connected Type of Building � v�� ,�� YP g- sr Inspection fee Service Rate` ► l Z) Paid by Date Contractor:.— _ _ Assessment�0 6, 7jaw Size of connection �}-