Receipt Number: 541272

Date: 09/14/2017

CITY OF ATLANTA
DEPARTMENT OF PLANNING AND COMMUNITY DEVELOPMENT
55 Trinity Avenue, S.W. - ATLANTA, GEORGIA 30303

RECEIPT
Application / Permit ID: BE-201709577 Page 1 of 1

Site Address: 79 FITZGERALD ST SE

Application / Permit Type: Building / Residential / Electrical

Fee Description Qty Fee Amount Paid

ACA Convenience Fee 1 $4.50 $4.50
PERMIT BASE FEE 150 $150.00 $150.00
Technology Surcharge 1 $25.00 $25.00

Total: $179.50 $179.50

Total Payment: $179.50

Method of Payment: Credit Card