8860 SW SCOFFINS STREET 8360 SW SCOFFTNS STREET
cn
c
w
w
O
U
N
O
�O
0G
00
i
e
� b9
Address --
Name of Occupa,it L 1,t;Llr'v1Permit charge_
Paid
_-- --__._- ---__---- Date aonne-:ted
Type of Building l _ InsFection fee_
Service Rate._ �'c� Paid by _ --Date—
Contractor —_ Assessment--__-__.__ _Paid
Size of connection
I