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4672 Traverse Pt 144010‘11R 1 !1 t T tfic � , ' L IM!'' 35122, DATE No. of Units: ,. '` 4[ >72 Travers 'oi ' . ,t I:4 }33: "Xect t 4t '1 ?�. GCY E Pan ►: .. 305. ' ow", valitillirelii4j10 Stn co 06 - Id meter D oto of Insp..: / - (9 - -t- for itiesAti --SEWER- SERVICE PE*MIT 'R7 5 Met Kweh Rosd PERMIT NO.: Y n, 5M22 DATE 11 /E' /!.70 Zoning: P Z I T `No. of Units: l unit trip e Owner: nr `111rrp wn Fan /�lddrass: Site Address• . 4677 Traverse Point T4 1 "'l deer 3 iff 4th number: renz Pvan 10/2/80 21166 100.00 pd I agave to amply whh tap rety ei Eye• Connection Charge: 42 5.0 0 rd Account Deposit: Permit Fee: 1(_ 0t) pd Surcharge: - 5n PI' BY ) Misc. Charges: Dote : of �. 0 Total: hug " ^ �'C? - Date Paid: