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og PRIp� CITY QF P1tIOR LAI� BUILDING PERMIT, Date Rec'd
�, � '�'EMPORARY CERTII�`ICATE OF ZUNING COMPLIAPICE
� � AND UT�ITY CONNECI'IUN PERMIT �
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.. SlgllittiliC COAti@C�DL'S LIOCIISI NO. . DALG
Perrmt Vatuation Park Snppoit Fee # S
PcKrnit R� " � S SAC # S
Ptan Chrck Fce $ � Water Mecer �ze 5/8",1 S
stai�e Su�harge i S Px+essurt Reduoer S
Penaity � Setver/Water Connection Fee # � E
Plumbing Permit Fee � S Water Tov�r Fee # �
Mechanical Permit Pee S- Bnilder's Deposit �
Scwer 8c WaterPeemit Pee S Othec' s
Gas Fic+epiaae Pe�r»it Fee � TOTAL DUS S . 7
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Date /� �� B
snitdin Oflicial Date '
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