Stormwater- Payment History

Facility Name: PEDIATRIC DENTAL PROSPECT - CONSTRUCTION

Permit Type: GP #2 Legal Status: Private     File No: 27795   Authorization No: 27795-27550

Expiration Date: 9/28/2016 (discontinued) Address: 125 24TH ST., SE - ALTOONA , IA 50009

County: POLK Field Office: 5 SIC: Geospatial Information: 452300(X)/4615179(Y)

Payment History   Payment Date Activity Payment Account 09/25/2015 Received Fee (1-Year) 175.00 88487 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: