8615 8617 SW SCOFFINS STREET 8615 & 8617 SW SCOFFINS STREET
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Address i _ Permit No,
Name of Occupant G 1-kZOV �JGkI.l,& Permit charge
Connection fee__
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----------_.-_- _ _ Date connected
Type of Building�_ di __ Inspection fee______
Service Date Dy
. - '�', Paid by --__Date-----------
Contractor Asseesment Paid
Size of connection
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