HomeMy WebLinkAbout2298 BRYANT DR; ; SE1986; PermitCASHIER’S VALIDATION
SEWER PERMIT APPLICATION
APPLICANT TO FILL IN SHADED AREA
BU I LDl N G ADDRESS
--c.--r
MAILING ADDRESS:
CONTRACTOR:
MAILING ADDRESS:
LEGAL DESCRIPTION:
- ASSESSORS PARCEL NUMBER zjz -%%!I
SEWER PERMIT NUMBER: SE
BUILDING PLAN CHECK NUMBER: Pc
BUILDING TYPE: ,/
JdpLG- ,A$;.& i -4
NUMBER OF EDU’S: / dl
CALCULATIONS:
c CONNECTION FEE
COST PER UNIT :f4yQ - x NO. UNITS /- 0
LATERAL CHARGE: *’ $4 ,* (1.q - TOTAL CHARGES:
PREPARED BY: +/~22 i (PRINTED NAME)
COMMENTS:
WHITE: DPS GREEN: Finance CANARY Water PINK: Building GOLD Applicant _-- &L!&s&L