HomeMy WebLinkAbout145 CHINQUAPIN AVE; ; SE862910; Permit<Eitg of
CASHIER'S VALIDATION
SEWER PERMIT APPLICATION
APPLICANT TO FILL IN SHADED AREA
SEWER PERMIT NUMBER: SE £
BUILDING PLAN CHECK NUMBER: PC
ASSESSORS NUMBER:
LATERAL CHARGE:Wr\\J
TOTAL CHARGES:
PREPARED BY: _, f 5//' V
(PRINTED NAME)
COMMENTS-
WHITE: DPS GREEN: Finance CANARY: Water PINK: Building GOLD: Applicant