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4680 Lenore Lane 4 , WATER Sillif,IC*TEEIRVI X111111 PERMIT NCO., a, . 3 i � DATE: 4/101 , l No. oft s: 1 - :uPi* ,rvhs0 r . 'Orrin Th Rnn Rompr2 46DQ L,ncn- T.rgytk IA PIL RiAgorliffp T� PFiriyabsr: CepZ - Ry ui /Aster No.:: ' Connection tom: 1 35-( 1 0 . 0 - Stec Account Deamit• isatior Na.i Permit Eec: 10.00 pd I 4 .61111 0 40 6 N 1rst* Wee trr' if 111111111111 Surd+a r+ps: • 50 Oi+ nmss. Misc. Charges: 6Q.lf# rid Ty rer / Totol B Dote Patti: of insp.: ��` ..— insp.: 7 F° EAGAN SEWIR" 11OLVICE ,r4._. ._ 222 w..,...,.r. DATE 1 .. 1 2 No. of U n i ts _ nit t J : Orrin trat n y � _ a - -461 ailosa ,s Address: 1 ; ' O 'Lenore, Lurie 1,4 611 ridgeciiffe ITT Plumber t:enz Tyan 7 /24/31 23366 100.0p pd taros tr r +arl1U Clihr M logos Connection + Ow/me: 4 25.00 t ca O diesuc t. Account Deposit: 'Permit Fee: 10.00 pd 'TStmaror e: - pd By Misc. charges Date f T tai: 1,10. (1_7: ` , /.v L i Date Paid: