North Lake- CS160429 T HOi½'ui
• T Y •
9
R S
A g 1
P.O.Box 9478•Coppell,Texas 75019•972-304-3679
Engineering/Enviromental Health
Name !. A . . �� AN .
Service Address T ff X10_,&tr
AbilarY/1474-)f-ft\-L, ) A-(, .
Phone Number� °
Date LI /A '1•IQ Cash Check No. , {,�"?"�
Service t
Food Permit
Pool Permit
Waste Hauler Permit
Temp. Event Permit
Construction Inspection Fee
Roadway Impact Fee
ROW Use Permit
Street Cut Permit
1387.
TOTAL fl fi4,
Received By