HomeMy WebLinkAbout2289 BRYANT DR; ; SE862933; Permit4-r , . I, r
CASHIER'S VALIDATION
SEWER PERMIT APPLICATION
4PPLICANT TO FILL IN SHADED AREA
BUILDING ADDRESS
OWNER:
MAILING ADDRESS:
CONTRACTOR
MAILING ADDRESS:
ASSESSORS PARCEL NUMBER
d. *1x ,;> SEWER PERMIT NUMBER: SE d> J - -
BUILDING PLAN CHECK NUMB6
I CONNECTION FEE I --
x NO. UNITS /* (3
.?I, // LATERAL CHARGE: ,, ,, 1.f
.'-.$ -1
TOTAL CHARGES: y / 2.2 3,
COMMENTS:
WHITE: DPS GREEN: Finance CANARY: Water PINK: Building GOLD Applicant