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12575 SW MAIN STREET a� �w � rw ri w r� w�► s es 12.575 SW MAIN STREET I u rn G .N R1 3 v) r- Ln N I I Address 1_e �_z, �� Permit No._ _ •��� Name of Occupant kf� Permit charge CanaGOUoa.fee Paid by "r, I Date connected J i 7 Type of Budding ,,0o—C D-rrkInspection fe'i Service Rate_ 3, D v Paid by Date -- Contractor _ Assessment Paid Size of connection l I i