HomeMy WebLinkAbout2304 BRYANT DR; ; SE862866; PermitCASHIER'S VALIDATION
SEWER PERMIT APPLICATION
APPLICANT TO FILL IN SHADED AREA
OWNER:
MAILING
ASSESSORS PARCEL NUMBER:
SEWER PERMIT NUMBER: SE fiz
BUILDING PLAN CHECK NUMBER: Pc
BUILDING TYPE: /
NUMBER OF EDU'S:
~$c7dK+ , <d!&$ ,f
LJ
CALCULATIONS: /,fi/H = /&n/
CONNECTION FEE
COST PER UNIT 'g/: t. ? NO. UNITS
LATERAL CHARGE: t,
,rrrr
TOTAL CHARGES:
PREPARED BY: L-94
(PRINTED NAME) *J
COMMENTS:
WHITE DPS GREEN: Finance CANARY Water PINK: Building GOLD: Applicant