HomeMy WebLinkAbout2560 DAVIS AVE; ; SE873007; Permit(Etta of
CASHIER S VALIDATION
3001
SEWER PERMIT APPLICATION
APPLICANT TO FILL IN SHADED AREA
BUILDING ADDRESS' *7y^X> /V £*,(<•'' ^ " 'T ^^-'
fye /« h*fO fj» 1 1 f t -7 VO*
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OWNER Lffi /< Y /// (A fC ^ h L\
MAILING ADDRESS: / % ~^~Z (~ fi (JCMC j<L C /
CONTRACTOR: ft L^ftfrfc if"' ij tff/£ K.
MAILING ADDRESS: £/fyl ! {~
LEGAL DESCRIPTION: // fit "? L- cTT
ASSESSORS PARCEL NUMBER: / <"^ — '?(£"('— ^*^-
SEWER PERMIT NUMBER SE - " 7
BUILDING PLAN CHECK NUMBER PC "~* — ' ' 7
BUILDING TYPE ' i
NUMBER OF EDU'S lit 0
CALCULATIONS / f f-j^. _ /A/V)/OfU^ ~~ /uCAx
.A.-LO - ,, ,,,
CONNECTION FEE
COST PER UNIT ' x NO UNITS *" / OOf)
LATERAL CHARGE
TOTAL CHARGES ^ lOOQ
PREPARED BY ^- ' """ ' // /J-
v (PRINTED NAME)
COMMENTS
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