11805 SW LINCOLN AVENUE i
11805 SW LINCOLN AVENUE
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Address [/,� ,������- 4— — Permit No. --_— _
Name of Occupant P rmit char a
— - — --- Paid by_
Date connected._2_—1O-- L
Type of Building._. � inspection fee - ---.----_—___
Service Aats-_- Paid by _ — ----_--Dat®---- -
Contractor._ Assessment-[:.6 J Paid
Size of connection.—k44 ---- _