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This form should be completed by your physician and mailed to NE Dept of Motor Vehicles, Driver and Vehicle Records Division, Attn: Handicapped Parking Permits, PO Box 94789, Lincoln, NE 68509-4789. Do not bring the form to the City Offices.
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PLUMBING PERMIT AND INSPECTION REPORT

  1. City of Fairbury

  2. PLUMBING PERMIT AND INSPECTION REPORT

    Permits are available at the City Office Monday - Friday (8am-5pm). SECTION 1 MUST BE COMPLETED PRIOR TO COMMENCEMENT OF WORK

  3. SECTION 1: PLUMBING PERMIT ($10.00)

  4. SECTION 2: INSPECTION REPORT ($5.00)

  5. CONNECTING TO:

  6. SECTION 3: FEES/PAYMENT

  7. REQUIRED FEES:

  8. SEWER CONNECTION FEE:

  9. WATER CONNECTION FEES:

  10. PAID WITH:

  11. Leave This Blank:

  12. This field is not part of the form submission.