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3309 Heritage Lane I C F. `EA WATI;I SE tV PERMT .. Pitot Knob R PE NQ ` -Ea` ,,1v1N 5 512 DATE. s - g �. No. of U nits � . �onTn �`��T� � �.,,t . � } Owner '' €.4 �: Ad dress Si Add } ; . .: 1 t `= _ ( . , d ' . . P . ? ? L*. ''iwt Me No Conne Charge:` . ._a 4 Acc ee Depos Reo Permit F 1 agree to comply r lth the; C ity of .Eaga Surcharge Or dinances. M.isc Charges Total _- B '' Da te Poid D ate of In sp t i ` 2/ 7 Insp ` a s r r, G AN S EWER SERV ICE - PERMIT ' CI S GF.�► of K nob Ro , PERMI T NQ; � ` g o n,` MN 5 D TA � 't hZoii , No.' of U Site Ad - +.. . 3 * . PIur`tbd1" _ o- # 5� +� " r }- r �ke.T2". ,S.,T7+€� ti'1+f t. - m . e of go C tne ction47Charg e ' 1 agree fo Co p1Y , na nces A cco unt - l Permitee z . , r Mi Charges 4Y f µ b S' ;Dote of Insp.:- Totol „._- x Date Pa j Insp ”