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4710 Hidden Pt wv4 - WATER SERVICE PERMIT • 140 PERMIT NO.: , 001 Ut3 DATE t • zo 1 J.I No. of Units: 1 uli t trill r " ?` Crrzn Thc t " son :duxes Addre‘x $ ,Addreee: 4710 'Hidden Po lilt L4 X35 i irl (4i9fa 5t1s Cenz ^ya* Meter NA.: Connection Charge: 3D5- (IQ p Sec Account Deposit- . $o.: Permit Fee: - - it) (1° Pd ..titypisefieeseply with /lie City •f E..w Surcharge: .50 Pd "mow.. Misc. Charges: 6iL 00 prl ;TIM' or Total: EY , Date Paid: Date of insp.: 1�� /1). 121 insp.• SEWER 4ERVia PatiVT ► : Rio PERMIT. PO of units: Addresz 1 =+4` • Site Add ieiec #.. Pitxr�6�sr 1..,a S apse is eeesply wadi fie C,r M Sees" Connection Charge"' ,' Account Deposit Permit Fee: ' gX Misc. Charge*: Date of imp.: - Total: insp.: — f' `" Date Paid: