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Home My WebLink About2271 COSMOS CT; ; SE883178; PermitCEity of <Earl0ba& CASHIERS VALIDATION SEWER PERMIT APPLICATION 0010 02/03 yjLOl OlSsmtn 11*60.00 APPLICANT TO FILL IN SHADED AREA •',"'' * v i * ' " • BUILDING'ADD'RESS *'• ;.-'™*»? 7 / ' •<££€% *}/!//•$ <J. .-tL^/-. • -"\?'r/ i^is/i^ '"> ":-; OWNER -/r(rJ&$~£?\ /~j&$/. &*•&?..• MAILING ADDRESS '-^.O/CJ / /"//3s?~; /C. 7" &f'' ••••'•' fiiJtZ '*•' '•'.-': ^^^^TM^AMK: :'^L '. :' "•,%'> -, • . ty&*>'f?&L — /J//*J? • CONTRACTOR ' *£%*&£*• • X?< yJ/2/*^ MAILING ADDRESS •IF.A, nFSCR^ON ..^rii! -'^^ AM •**/'*& -'" •'••'•-! ' J ' •'" ' ^c" /*/.•'*"'• '''$$'%£»$' j^"^*s^v^v ' f)?iJ ' &/"*' ^or" ^&£j&te, ;7E%^ A^, ' 7T- ^ ^V/ ' "&" / /ffsf/^-f?^ •'.'•• J®1*?'^*^/' • ' ASSESSORS PAHCEL.NUMBER COMMENTS SEWER PERMIT NUMBER SE ••''/' 37~ & & "5 BUILDING PLAN CHECK NUMBER PC BUILDING TYPE ? i NUMBER OF EDUS CALCULATIONS 2-1 <-fZ- ' ' ;' ••'' -7 B6, / y CONNECTION FEE ^ /^^-^r COST PER UNIT x NO UNITS '/// . 5/^ ^ "^^'^f-^ 1 ATERAL CHARGE TOTAL CHARGES PREPARED BY (PRINTED NAME) >^Ja3O3I — - 7>s. /? /^l ^\ I '^ n J^()' CD ' ^"i ffff^^'ilfi — » i \ f*y'rt'"C£ * O ' X^ c^ ' WHITE DPS GREEN Finance CANARY Water PINK Building GOLD Applicant