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1220 103RD PL SW 2016-01-01 MF Import
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103RD PL SW
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1220
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1220 103RD PL SW 2016-01-01 MF Import
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Last modified
4/18/2017 2:27:28 AM
Creation date
4/14/2017 11:10:44 AM
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Template:
Address Document
Street Name
103RD PL SW
Street Number
1220
Imported From Microfiche
Yes
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��.J <br />,._ ' <br />BUILDING PERMIT INFORMATION <br />AUDRESS ��'IO1C� A�`Q ID3��l�� S� TYPE _ <br />(1) BUILUING PERMIT FEE S <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILOING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDG INSPECTOR INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO ._ <br />(C) �1PPROX. LOCATION <br />CHART <br />(5) DRlVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- _ �p <br />SUnNCE FEET DRIVEWAY(TYPE) S � <br />S <br />p) STATUS OF SEWER CHARGES: <br />BOND DISTRICT <br />NOTES <br />FOOTAG E <br />N, 5, E, W <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK S j'n ��Q ��1� <br />LATERAL — ��— <br />TOTAL CONNECTION CHARGES S � <br />SEWER PERMIT FEE S Il�iU�l ��� <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES f <br />(7) MONTHIY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />TRUCK s <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />5•B4 <br />CHART <br />DATE <br />DATE <br />iY�r�mCM�e�Jol'••.�. re,r:rHrrr�n.�-..rqarW�.�.'a•��)f'AW:YI6f�119.TT1AM'.IM'CD14'. . . . � .. . • .� ... �TT..n.•: ' ..� . , .. ,'..b9]I.� <br />� <br />
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