HomeMy WebLinkAbout2286 BRYANT DR; ; SE852745; PermitENGINE RTMENT
FOR APPLICANT TO FILL IN
BUILDING ADDRESS
OWNER
MA1 LING ADDRESS
I CONTRACTOR
GONTRACTOR'S I ADDRESS I 8 I t
I NEW BUILDING t
LEGAL DESCRl PTlON
REMARKS:
I I
LATERAL NO. INSTkttATlON DATE
ISSUED BY
DATE ISSU
VAL1 DATf ON
LATERAL CHARGE COMPUTATION
STANDARD 4" (Max. H. W, V. 10')
OVER30". FT.
OVERlO'V. FT.
STANOARO 6" (Max. H. 30.
OVER 30' H.
OVER 10: v.
r.)
CTI ON COST
(REPAVING ETC.)
TOTAL LATERAL CHARGE
LINE COST DATA
ASSESSMENT DIST. NO.
CONNECTtON FEE
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