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12165 SW MAIN STREET 12165 SW MAIN STREET r r. m r ;3 Lo N I Address_/16-' 1I 2i1.,X" Permit Name of Occv.pant t�`72Z ftl�s'-d44"-4;;1e Permit charge Connection Of Paid by — Date connected . , Type of Building-_ ���---�_--- Inspection fc:? Service Rate 3• Paid by _ Date__---.._�__..._. ._ Contractor Assessment F'aid Size of connection