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4673 Sorrel Pt C rrY OF EAWAN 1 WATER SERVICE PERMIT 17'1 1 R x.. PERMIT NO.: a MN -88132 DATE: 11/121E xs"s T : T 1 "- t i wAe : ._T G No. of Units: Owner: {)r. n 1 OT°n03Ozl ;OVes �delriesR; _ S A 4 73 S'rr::`e1 rc)ip t Tr. -B3 Pideorliffn 4r11 Ptutniter: -P r!ypvi x01 ' connection Charge: 305. psi $izei Account Deposit: leader No.: • Permit Fee: • 10.10 P'3 114osioe to ► w ith eh. Oft of Soso* Surcharge: • Q d ordiswroses. Misc. Charges: Fast - OP p4 roc r pr . Tot B - r er-e:t ' 1) ate paid; Date of Insp.: lr /4 O Insp.: 3:rt PERMiT *Soo, Mkt = 55122 DATE 7 1 71 / t t Zoning ' ITT No. of Units: 1 + 1r, r Orr ;n 1 p ,2�T;:a &se Addr 4673 T! ? r•,, 7 •_ A Plumber: ('nrn 16/ ?./P' `Ill CC 10r.'10 y. to empty rrIth the Ceil of teSerr Connection Charge: 4 %' ; pd Orrbren ees. Account - Deposit: Permit Fee: 1° ..O ( Pd Surcharge: • 50 P By Misc. Charges Datea / f.i 4 Total: Insp.: % ! r� Date Paid: