112ADDRESS OWNER OCCUP CY
112 Centennial Dr . R.C.A. Certific of Occuoancv:
LEGAL DESCRIPTION
Lot 158 Hid den Lake Unit IV Phase II Date Approved:
BUILDING CONTRACTOR Sub. Reg's. Apply: Yes N o
BUILDING:
12/9/81 Permit #16381 BUILDING RECORD Final Inspection
Erect S/F Res - Model 1057 01,51./- � �,r - ek -do`
J. Feinstein ($28,631.) 1 YIjy /r! f - - 9 Cf
0 D 3�G�PL
[OVER]
FEES: 1
Development Fees OtZ F32 :r
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
PLUMBING ELECTRICAL MECHANICAL
1217/81 Permit #0096 1 22 82 Permit 1 /20/82 Permit 2349
CONTRACTOR CONTRACTOR CONTRACTOR
funs Plumbing Tri City Electric Air Flow Designs
FIXTURES FIXTURES FIXTURES
New 2 Bath Residence New Residence A/C & Heating
INSPECTIONS r INSPECTIONS (� INSPECTIONS
I B OUGH IN VO',mv- D/< —�al ROUGH IN �Z� /PZ — yf� ROUGH IN
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/ - 6* — U
FINAL FINAL �`�O /�G C`�� FINAL,3 / /� /�� ��