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111 Centennial Dr.
OWNER
R. C. A.
Certific of
LEGAL DESCRIPTION
Lot 148, Hidden Lake, Phase II, Unit IV Date Approved:
- BUILDING CONTRACTOR !� Sub. Reg's. Appl Y es N o
4/1/82 Permit #16637 BUILDING RECORD BUILDING:
Erect S/F Residence y /�j�rz- .s - _ FEInspection
FES:
Model 1266
EES:
J. Feinstein ($36 ,318.) f ` — 4� Development Fees
5/�/�a
[OVER]
Streets Paved Unpaved
Street Paving Fee
UTILITIES:
Water Lines
Meter Set
Sewer Lines
Sewer Tap
Storm Sewer
ENGINEERING/PUB. WORKS:
Drainage
Street Paving
Street Name Signs
Street Lights
Maintenance Bond
1
PLUMBING ELECTRICAL MECHANICAL
4/2/82 Permit #0151 4 -16-82 Permit 48418 /5/82 Permit #2403
CONTRACTOR CONTRACTOR CONTRACTOR
Muns Plumbing Tri City Air Flow Designs
FIXTURES FIXTURES FTXTURE$
New 2 Bath Residence New res. A/C &Heating
INSPECTIONS INSPECTION$ INSPECTIONS
ROUGH IN /I�IF� S ROUGH IN .r�� /P4' (N" JJ ROUGH IN
FINAL & /S FINAL JJp FINAL C/J<< Jy (�