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12289 SW MAIN STREET w smInNs OW 12289 SW MAIN STREET u r4 c ro 3 rn N N i, i Address—ZA221 Permit No. _.--_,-4_Z6 Name of OccupantJA44L�� Permit charge_^ p GeMwction fee ---- - -- Paid h y - —- - Date connected - 3 Type,)f Building— Inspection fee - Service Rate ./� D L� Paid by Date +�� Contractor /�_ - xA,. a r Assessment. Paid . Size of connection �' '� Address Permit No. Name of Occupant�� W.'r Permit charge ----------- Connection fee Paid by Date connected Type of Building_7�4 47 Inspection fee Service Rate Peid by Contractor_ Assessment--------Paid Size of connection