Stormwater- Payment History

Facility Name: FRANKLIN GENERAL HOSPITAL - REMODEL / ADDITION

Permit Type: GP #2 Legal Status: Public     File No: 17101   Authorization No: 17101-16877

Expiration Date: 5/1/2012 (discontinued) Address: 1720 CENTRAL AVE. EAST - HAMPTON , IA 50441

County: FRANKLIN Field Office: 2 SIC: Geospatial Information: 484640(X)/4732161(Y)

Payment History   Payment Date Activity Payment Account 04/27/2009 Received Fee (3-Year) 350.00 1919 Activity Date: MM/DD/YYYY Payment Option: --ACTIVITY TYPE-- INSUFFICIENT FEE PAYMENT RECEIVED PERMIT APPLICATION SENT RENEWAL REMINDER SENT DELINQUENT NOTICE (FIRST) RECEIVED FEE (1-YEAR) RECEIVED FEE (3-YEAR) RECEIVED FEE (4-YEAR) RECEIVED FEE (5-YEAR) RECEIVED FEE (TERM UNKNOWN) SENT PERMIT APPLICATION UPDATE RECEIVED PERMIT APPLICATION UPDATE IMPROPER NOTICE OF DISCONTINUATION RECEIVED SENT PAYMENT OPTION LETTER UPDATE INCOMPLETE – RETURNED APPLICATION DISCONTINUED PERMIT Payment: Invalid value Account: Comment: