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CITY OF AU ISVILLE <br /> P.O. 13OX 227 <br /> .~u~ille. O~n 97225 <br /> <br />749-2030 <br /> <br />ADDITIONAL CI'TY' !:~1~.~ FOR ~ CON~TRUC'ITON <br /> <br />MaLl~g Addre~: <br /> <br />Phone: lob Add~a: <br />Subdivi~on: <br /> <br />C.~ntra~t~. Bu.n~'~sa Name, A~ a.nd Buikl~ Boa.n:[ # <br /> <br />Bio:kS <br /> <br />I~d~z,.~d,: [ ] <br />¢ommemial: [ ] <br /> <br />Valuation: <br /> <br />Water 'SDCs: <br /> <br />Sewer SDCs: <br /> <br />Parks SDC's: <br /> <br />Water Meter Box Deposit: <br /> <br />To~al Feez: <br /> <br />Receip~ Numbs: <br /> <br />Sigmm~ of the Applicant: <br /> <br /> <br />