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DCT Fellowship- CS150903T H E C I T Y O F C OFFELL I * %', 1 s .1 P.O. Box 9478 • Coppell, Texas 75019 • 972-304-3679 Engineering/ Env�ir"omental Health Name % �T(11 Service Address L l 'L Phone Number Date Cash Vvl- A w Service Food Permit Pool Permit Waste Hauler Permit Temp. Event Permit Construction Inspection Fee Roadway Impact Fee ROW Use Permit Street Cut Permit 1208 TOTAL t ►n %l, /1 �Y� Ill � U� Received By