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MARCH " � �I�1��lI� 1111111111111.. 1�111111�1�111hll.tl�.l�lill Il��1!l��tlt�t� c • 1992 1 30 FILE NO. I45"b' /1,1LI-.01 F"AMPTON ST. - 6600 STR. OPN. PERMIT APPLICATION STREET IMPRO'lkMENT/EXCAVATION COPY TO: ORDIN :E NO. 74-14 0 (BLULUEDE)( --FILE -INSP, h ;YELLOW) -OTHER AGENCY (INSTRUCTIONS ON SF_PARAlE SHEET) C] PINK) APPLIC:NT APPROVED ❑ APPLICATION NO.: _�. NOT APPROVED ❑ CI I ti OI' I IGARU, OREGON FEE AMT.: 5/I(Js�lQ PENDING FEE. PMT. ❑ CITY HALL RECEIPT NO.:C7_i6 x_61 PENDING SECURITY ❑ PUBLICWORKS DEPARTMENT BY DATE PENDING AGENCY ''OK" ❑ Application and Progress Record — L -- - — — — — — — — — — — — MAINTENANCE BOND PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/FXCAVAT ION AS REQUIRED n ANNUAL PENDING VARIANCE ❑ EXPIRATION DATE: V / PERMIT NO DATE ISSUED: _ - _../12 A-4-A- (1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS, APPLICANT Lamb-Weston, Inc. 6600 S.W. Hampton St. Tigard, Oregon 639-8612 NAFA ADDRESS CITY ONONE CONTRACTOR ,Rouse Ef, c trice - 163;n :,.W. Parker Rd. Lake Oswego, Oregon 635-2824 NAME ADDRESS CITY PHONE PLANS BY___ -__L-ijnL-_k ;t.11 1[u ,___Eili:1O :'_W. Ham�ntnn St.- Tigjrt1_ (lrognn NAIIIE ADDRESS C TT--y "T�F1p NZ ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): E 1 ,000.00 _ DOLLARS (2) EXCAVATION DATA: Boring; - 60 ft. (­pprox. ) FOR OFFICE USE: _ STREET DESCRIPTION PROGRESS & INSPECTION STATUS NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY STREET PRE ED LN INSP C- R TION E Q LSTIMATED STREET OPENING DATE: / '_-,/ j' - FS ESTIMATED STREET CLOSING DATE: f _�__r 1/ E —_ _---_ - ---_- D STREET ( iI SECURITY NO. SECURITY AMT: S CLOSED SURETY CO.: % r_�M.+~, _ InS /�M u/_ /ar4< _ / FINAL CERTIFIED C"EC K c.ASI1 BOND 1#✓ INSPEC. j4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL - SPECIAL PROVISIONS/CONDITIONS'. FEATURES; EXCAVATION LOCATION AND EXTENT. See attached plans 1 I II I l � 5I NOTE THE C TY OF TIGARD DOES NOT, HEREBY, �RANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE RIGHT OF'-WAI JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON. THE APPLICANT AGREES TO DEPOSIT THE R[QUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS Lamb-Weston, f nc. b 9ffax APPLICANTS SIGNATURE: � ,', DATE_ � / • Manager, Administrative Services THE AMERICAN INSTITUTE OF ARCHITECTS IN AIA Document A311 Performance Bond KNOW ALL MEN BY THESE PRESENTS: that LAMB-WESTON, INC. 6600 5W Hampton St. (WHO 1900"till Rem sM&Wrnse a 19pl 111119 N GrlhneUr) Tigard, Oregon 977.23 2s Principal, hereinafter called Contractor, and, Insirance Company of North America, 1600 Arch Street, Phl!vdtlphia, Pennsylvania, a corporation duly organized under the laws of the State 4 Pennsylvania as Surety, hereinafter called Surety, are held and firmly bound unto Dere Insert full nnnt ro swreM a lelpl title of 0wrwr) CITY OF TIGARD as Obligee, hereinafter called Owner, in the amount of - - - - -• ONE THOU AND AND NU'/10O - - - - - - - -- - - - - - - - - - - - - - - - -- - - - - - - Dollars ($ 1,000.00 ), for the payment whereof Contractor and 5uret,,, bind themselves, thcir heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS. LAMB-WESTON, INC. Contractor has by written agreement dated 9- 13 19 84, entered into a contract with Owner for ADDING TWENTY _FIVE PAIR CABLE TO LAMB-WESTON SWITCH EQUIPMENT TO R BENEATH HAMPTON STREET in accordance with Drawings and Specifications prepared by (Here Irotv•t full mmw NOW MOM Or leal title N AreldtmU which contract is by reference made a part hereof, and is hereinafter referred to as the Contract. AIA DOCUMENT A)11 - PERFORMANCE NONE) - FEBRUARY 1970 FE). BS-)`n1 Vrintatt In U.S.A. 1 NOW, THEREFORE, THE CONDITION Of THIS OBLIGATION is such that, if Contractor shall promptly and faithfully perform said Contract, then this obligation shall ';re null and void; otherwise it shall remain In full force and effect. The Surety hereby waives notice of ar,; alteration or defaults under the contract or contracts of completion extension of time made by the Owner. arranged under this paragraph) sufficient funds to pay the Wh;nrver Contractor shall be, and declared by Owner cost of completion less the balance of the contract price; but not exceed ng, including other costs and damages to be in default under the Contract, the Owner having for which the Surety may be liable hereunder, the amount performed Owner's obligations thereunder, the Surety set forth In thfe first paragraph hereof. The term "balance may promptly remedy the default, or shall promptly of the contract price," as used in this paragraph, shall 1) Complete the Contract in accordance with its terms mean the total amount payable by Owner to Contractor and conditions,or under the Contract and any amendments thereto, less the amount properly paid by Owner to Contractor. 2) Obtain a bid or bids for competing the Contract in Linder this bond must be instituted before accordance with Its terms and conditions, and upon de- the expiration Anv suit undd two (21 years from the date on which termination by Surety of the lowest responsible bidder, final payment under the Contract falls due. or, if the Owner elects, upon determination by the Owner and the Surety jointly of the lowest responsible No right of action shall accrue on this bond to or for bidder, arrzn.ge for a contract between such bidder and the use of any person or corporation other than the Owner, And make avallab'= as Work progresses (even Owner named he7ein or the heirs, executors, adminis- though there xhould be a default or a succession of trators or successors of the Owner. Signed and sealed this 12th day of September 19 84 LAMB-WFSTCIN, INC, (Principal) ISN --�—� — (Witness) -- �� (Tide) INSURANCE COMPANY Of NORTH AMERICA ISurety) �fNtl --- — (witness) ;--< - / Betty Dunagan (Title) A torney-In-Fact AIA DOCUMENT A111,-.PERFORMANCE BOND • FEBRUARY 1970 ED CITY OF 71GARD—12420 S.W. h, .4 —TICARD,OREGON 97223 RECEIPT DAILi t 5` AMOUNT - DOLLARS NAME. - /�,,�.�r ——_ CASH: ADDRESS. /� .: /�_,c .. �-- CH CIG_r #� OF FOR: _ ACCT. N PERMITS tURCHAROt_ _-_AMOUNT SEWER BILLINGS 40-364 $ BUSINESS LICENSE 05-331 PLUMBING PERMIT 05-332 MECHANICAL. PERMIT 05-332 -- -- ----- ---- BUILDING PERMIT 05-333 -- SEWER CONNECTION 40-363 ------------ SEWER INSPECTION 40-365 - - - SYSTEM DEV.CHARGE 25-366 ------ PARK DEV CHARGE *1 30-367 ---- -- PARK DEV. CHARGE #2 30-368 ZONING ADJUSTMENTS 05-362 - - - --- --._— - TOTALS RECEIVEDBY --_-.--_—_-- ------ --- PERMIT NUMBERS ASSIONSO: Numbor Amount NumMr AnrouM Nundw.. Amount _ $ $ RECEIPT N 20361 THE AMERICAN INSTITUTE OF ARCHITECTS AIA Document A.1 i 1 Performance Bond KNOW ALL MEN BY THESE PRESENTS: that LAM;-WESTON. 1 NC. 6600 SW r;ampton St. (firs le»'t Yvll noer IFA wlarass a load title of Contractor) Tigard, Ore;nll 97'23 as Principal, hereinafter called Contractor, and, Insu .nce Company of North America, 1600 Arch Street, Philadelphia, Pennsylvania, a corporation duly orga�iized under the laws of the State of Pennsylvania as Surety, hereinafter called Surety, are held and firmly bound unto (tttn Inotrt full Rona OW"dress or'tpl title of OwMr) `'ITY OF TIGA.RD as Obligee, hereinafter called Owner, in the amount of - - - - - ONE THOUSAND AND NO/100 - - - - - - -- - - - - - - - - - - - - - - - - - - Dollars ($ 1 ,000.00 ), for the payment whereof Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns jointly and severally, firmly by these presents. WHEREAS, LAMB-WESTON, INC. Contractor has by written agreement dated 9- 13 19 84, entered into a contract with Owner for ADDING TWINTY FIVE PAIR CABLE TO LAMB• WESTON SWITCH EQUIPMENT TO R BENEATH HAMPTON STREET in accordance with Drawings and Specifications prepact-d by (Hort Inert full noe!t wed.address or Iepl title of ArcAlbeq which contract is by reference made a part hereof, and is hereinafter referred to as the Contract. AIA OOCUMf.NT A311 • PERFORMANCE BOND • FEBRUARY 1970 ED BS-7581 Printed In U.S.A. NOW, THEREFORE, THE CONDITION OF THIS OBLIGANON is such that, if Contractor shall promptly and faithfully perform said Contract, then this obligation shall be null and void; otherwise it shall remain in full force and effect. The Surety hereby waives notice of any alteration or defaults under the contract or contracts of completion extension of time made by the Owner. arranged under this paragraph) sufficient funds to pay the cost of completion less the balance of the contract price, Whenever Contractor shall be, and declared by Owner but not exceeding, including other costs and damages to be in default under the Contract, the Owner having for which the Surety may be liable hereunder, the amount performed Owner's obligations thereunder, the Surety set forth in the first paragraph hereof. The term "balance may promptly remedy the default, or shall promptly of the contract pri(e,' as used in this paragraph, shall 1) Complete the Contract in accordance with its terms mean the total alnotmt payable by Owner to Contractor and conditions,or under the Contract and any amendments thereto, less the amount properly paid by Owner to Contractor. 2) Obtain a bid or bids for completing the Contract in Any suit under this bond must be instituted before termination eaccordancewith its terms and conditions, and upon de- the expiration of two (2) years from the date on which terminiatioon by Surety of the lowest responsible bidder, or, if the Owner elect upon determination by the final payment under the Contract falls due. Owner and the Surety jointly of the lowest responsible No right of action shall accrue on this bond to or for bidder, arrange for a contract between such bidder and the use of any person or corporation other than the Owner, and make available as Work progresses (even Owner named herein or the heirs, executors, adminis- though there should be a default or a S :cession of trators or successors of the Owner. Signed and sealed this 12th day of September 19 R4 LAMB-WESTON, INC.— (Principal) (Seal) (Witness) �� C (Title) C.W. E rt, Vice President - Finance INSURANCE COMPANY OF NORTH AMERICA (Surety) (Seal) (Witness) Getty Dunagan (Title) A torney-In-Fact AIA DOCUMENT A311 -.PERFORMANCE BOND • FEBRUARY 1970 ED. –.-•��I.�.t OWN, III POWER OF Insurance Company of North America ATTORNEY a CIGNA company Know all men by these presents: That INSURANCE COMPANY OF NORTH AMERICA, a corporation of the (_'0rT)fronwealth of Pennsylvania, having Its principal office In the City of Philadelphia, Pennsylvania, pursuant to the following Resolution adopted by the Board of Directors of the said Company on December 5, 1983, to wit. "RESOLVED.That pursuant to Articles 3 fa and 5 1 of the By Laws.the following Rules shell govem the extif for the company of no,da,undertakings,recogmtances.contracts and other wnOnge in the nature thereof (U That the President.any Senior Vice Presrdart.any Vice Proo dant.any Assistant Vice President,or env Attorney-m•Fact.may execute for'.nd an behalf of the Company any and all bonds,underok• ,riga-fecognitehcN,Contracts and Other writings in the nature thereof,the name to be attested when necessary by the COrOOratl Secre'dry.or any Assistant Corporate Secretary,and the asst Of the Company affixed thereto,xnd that the President any Senior Vice President.env Vice President or any Assistant Vice President rnav✓opolnt and authorize any other Officer lelact rd or appointed)of the Company,and Attornsv7•m-Fac1 t0 so execute or street t0 the execution of oil such writings on b)half Of the Company and to SIN the seal Of the ComDany thereto 121 Any such writing executed m accordance with these Rules shell be as binding upon the Company in Any case as though signed by Nie President and atleeted to by the Corporate Secretary 131 The signature of the P rrAldent.at a Senor Vice Pissfdent,or a Vfre President,or an Assistant Vice President and the seat of the Company may be affixed by facsimile on any Dower of attorney granted pursuant to thrt Resolutionand the signature of a certifying Officer and the leaf of the Company may be affixed by facsimlN to env certificate of any such power,and any such power or car. titi0ste beating such faca.trute signature and talar Shell be valid and binding on the ComDenv :41 Such other Officer$Of the COniparty,and Allornevs-m.Foci shell have authority to Certify 0,verify Cop,"of this Resolution,the 9y-Lows of the Compai and any affidavit or record of the Company necessary to the discharge of their duties The passage of this Resolution does not revoke any earner autho.lty granted by Resolutions of the Board of Directors adopted on June 9,1953 May 28 1979 and March 73.1977 does hereby nominate,constitute and appoint CLARA BERTMAN, JEAN F. COGGER, BETTY H. ORONA, D. W. WANAMAKER and BETTY E. DUNAGAN, all of the City of Pottland, State of Oregon----------- ----,each Individually If there be more than one named, is true an 1 lawful attorney-In-fact, to make, execute, seal and deliver on its behalf, and as its act and deed any and all bonds, undertakings, recognizances, contracts and other writings In the nature thereof. And the execution of such wi flings In pursuance of these presents, shall be as binding upon said Company, as fully and ampiy as If they had been duly executed and acknowledged by the regularly elected officers of the Company at its principal office. IN WITNESS WHEREOF, the said H.F. McCranle, Jr , Vice-President, has here yinnttohsubscribed his name and affixed the corporate Z seal of the said INSURANCE COMPANY OF NORTH AMERICA this 3 —_ – ,t day of ig 84 Ju 1 — -- - - ----------- — r, INSURANCE COMPANY OF NORTH AMERICA Vicehy -Pfesfdent =/ H. F. McCRANIE, T. COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF PHILADELPHIA On this 30th _day of July A D. 19 84 , before me, a Notary Public of the Commonwealth of Pennsylvania In and for the County of Philadelphia came H.F. McCrsnie, Jr., Vice-President of the INSURANCE COMPANY OF NORTH AMERICA to me personally known to be the Individual and officer who executed the preceding in- strument, and he acknowledged that he execLtted the same, and that the seal affixed to the preceding instrument is the corporate seal of said Company; that the said corporate seal and his signature were duly affixed by the authority and direction of the said corporation, and that Resolution,adopted by the Board of Directors of said Company, referred to In the preceding instrument, is now in force IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my official seal at the City of Philadelphia the day and year first above written. ' T_ETITIA H. CLARK , a. �?zd 4/� J terry Public.Philt.' Phltr-County - LH. CLARK Notary Public (SEAL) MY Commission EtcDfres August 22, 1981 I, the undersigned, Secretary of INSURANCE COMPANY OF NORTH AMERICA, do hereby certify that the original POWER OF ATTORNEY,of which the foregoing Is a full, true and correct copy, is In full force and effect In witness whereof, I have hereunto subscribed my name as Secretary, and affixed the corporate seal of the (.orporation, this day of ---__'� ----- �. 1SEAL) — - James S Wyllie secretaiv APPLICATION - STREET IMPRr l:.MENT/EXCAVATION COPY TO: IWHITEI ' FILE ORDIN,...CE NO. 74-14 ❑ (BLUE) -INSP. (YELLOW) OTHER AGENCY (INSTRUCTIONS ON SEPARATE SHEET) ❑ IPINK) -APPLICANT APPROVED ❑ APPLICATION NO.: NOT APPROVED ❑ CI I Y OI' 111GARD, OREGON FEE AMT.: S PENDING FEE. PMT. ❑ (..IIY I-TALI• RECEIPT _ PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT BY DATE PENDING AGENCY ''OK" ❑ Application and Progress Record MAIN .NANCE BOND M — PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS REQUIF.ED u ANNUAL ❑ PENDING VARIANCE ❑ EXPIRATION DATE: PERMIT NO. DATE ISSUED: BY: r� ��C (1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL —atorm Si7mr Connection tO ttxisting _ AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS. APPLICANT _•fivi r,y P 111 ging & Heat7ncr COL 0. ',ox 12004 Yortl.lnd Ore. )7212 286-52 b9 AME ADDRESS PHONE CONTRACTOR sarle - 5A M E ADDRESS ON PLANS BY Lgnlb Weston 6600 S. 7. lamoton Tigard NAME ADDRESS C PHONE ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): S 1000.00) DOLLARS (2) EXCAVATION DATA -_ _- -_-_----- -- FOR OFFICE USE:--- _-� 17111011N. 0.02 X s �C-oC _ s aD•oo, iSTREET DESCRIPTION PROGRESS & INSPECTION STATUS NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE_ BY TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY STREET 1 N R 10 U — ESTIMATED STREET OPENING DATE: / 211 / 1U81 ET ---- ESTIMATED STREET CLOSINis DATE: _ lune f iO / 1981 EDSrREET -- (3) SECURITY NO. --- SECURITY AMT.: $ CLOSE SURETY CO.: X FINAL _ CERTIFIED :HECK U CASH 0 BOND O NSPEC. (4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS/CONDITIONS FEATURES; EXCAVATION LOCATION AND EXTENT. Ir I I I I 1 I I I (`( NOTE THE CITY OF T IGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE RIGHT OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON. THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAVAS AND CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND EMFI_OYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS. APPLICANTS SIGNATURE 'l' f_—J�.� �, rJ 1,�, DATE �i•r ;v-r)*,.FTi :.1�' M.:ze:i:� awNM�1' rrir.dpYw.+t�a��"...�:+W�M�►{i'MW,..sti?,7Mc'+�:V�q•ijlytlt•�,5=� _I�p?; APPLICATION — STREET IMPR :MENT/EXC:AVATION j OP : WH TOE)-FILE ORDINANCE NO. 74-14 Ej (BLUE) -INSP. Lj (YELLOW) -OTHER AGENCY (INSTRUCTIONS ON SEPARATE SHEET) I] (PINK) - APPLICANT APPROVED ❑ APPLICATION NO.: — NOT O.: -NOT APPROVED ❑ CITY OF TIGARD, OREGON FEE AMT.: f ----- PENDING FEE PMT. ❑ CITY HALT. RECEIPT NO.: —�__--- -- PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT BYDATE _ _ _= PENDING AGENCY "OK" ❑ Application and Progress Record MAINTENANCE BOND M —.— PENDING INFORMATION O FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED ANNUAL 0 PENDING VARIANCE ❑ EXPIRATION DATE: PERMIT NO.: -- — — ----- . DATE ISSUED: -------.. BY: — — ----- -- (1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL __ i it•'lk AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS. Ayf T t I I J.»Irinf• n, HPA• inlr APPLICANT --NAME CITv -PHONE ADORE4S CONTRACTOR --- --_.-_.—_--------._._ --------_...- --- CITY NAME AODRE55 PLANS BY _ _._—_ ___.--._ --_____. CITY — PHONE NAME ADDRESS ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ _._ - DOLLARS ---- FOR OFFICE USE: (21 EXCAVATION DATA: 0.02 x s STREET DESCRIPTION PROGRESS 13c INSPECTION STATUS_ NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE By TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY ----— — STREET OPENED —._- -- INSP C- R TION Q _ U ESTIMATED STREET OPENING DATE:_..— / / S ESTIMATED STREET CLOSING DATE: _--�--- -- E D STREET ! 1) SECURITY NO. _---_--.._ _ SECURITY AMT: $ ______. _ CLOSED SURETY CO.: ___ ___ __ _. — FINAL — CERTIFIEDCHECK '.I CASH U BOND . INSPEC. (4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS/CONDITIONS: FEATURES: EXCAVATION LOCATION AND EXTENT. pp � I 1 I 1 NOTE: THE CITY OF TIGARD DOES NOT HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE RIGHT-OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE :'TATE OF OREGON. THE APPLICANT AGREES TO DEPOSIT THE REQIJIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND I MPI.OYEE� AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS. tNP 1'I IC AN r S SIGN A T tJ R FO A T E -- CITY OF TIGARD—12420 S.W.,!AIN—TIGARD,OREGON 97223 RECEIPT 1� DATE:_ _�'�_ r__---- AMCUN DOLLARS C NAME: -�-�' _ CASH: - i ,•, ADDRESS: M.O.: OF FOR: ACCT. 0 PERMITS SURCHARGE - AMOUNT SEWER BILLINGS 40-364 S BUSINESS LICENSE 05-331 - r PLUMBING PERMIT 05-332 S.. ----- - MECHANICAL PERMIT 05-332 -- -- --- BUILDING PERMIT 05-333 - SEWER CONNECTION 40-363 SEWER INSPECTION 40-365 SYSTEM DEV,CHARGE 25-366 PARK DEV.CHARGE#1 30-367 -- „ PARK DEV.CHARGE #2 30-368 ---- -- ZONING ADJUSTMENTS 05-362 -- TOTALS RECEIVED BY: __ ------•--- PERMIT NUMBERS SIGNED: Number Amount Number Amount Humber nounl S RECEIPT E 8923 - i