4677 Traverse Pt - .40140 statit4 y WieWiAt 'Etili►i
,srpititaa Row P� .: , .
, r .�Z2 1 � 1 �x ��n t�� -
N o. of Units:
Orrin T�io�i t � to es
- --ivilitifd tesst 4677 Traver' Point Lt.2 15 +; r e t 3 f 4th
Ge nz yan -
-Miter Not connectioniotorge:
Deposit-
.Raodirr too.' ' 10 d
# eves ft" of `; at , 59 Pd
l. Mtsc: . it.to pd meter
T
of ink.: /l . fi r 815 insp.:
4. SEWER SLICE 1T
371151 Past K Reed " PERMIT NO.:
irsout, MN 55122 DATE: , /
Zoning: No. of Units: e - •
O wner:
Address:
Site Address; ?? _ C"r_ =;c ' :s,a.._ ") cc l :.
Plumber: `rr -)
1 epee 1r wryly wh6 ebe,Q1tsteirtilegeo Connection Charge: 47r; „
Ordissisees. Account Deposit:
Permit Fee: 1 ‘,.
S: _.5
SY Misc. Charges:
Date 'i p• Total:
insp.: (1. Date Paid: