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BUILDING PERMIT INFORMATION <br />ADDRESF r v V''• — <br />'fYPE OF BUILDING j 'e �AM/z y DATE <br />1) BUILDING 'PERMIT FEE <br />(A) PLAN CHECK FEE <br />2) WATER SERVICE TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED _ <br />(A) TO BE DETERMINED BY PLBG. INSP. INCH <br />(B) EXIST._ WATER SERVICE, APPL. NO. <br />(C) LoOCCATION .47 <br />�l0 y* "QeK aF ✓` HART ((J <br />3) DRIVEWAY PERMIT TQ.BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED R � FT. 06a,LPf're D/W (TYPE) <br />$ <br />$ 490166 <br />$ 0-j 0 <br />TOTAL* $ <br />4) STATUS OF SEWER CHARGES: <br />BOND DISTRICT .56 FOOTAGE _ <br />N, E, W. <br />SEWER CONNECTION CHARGES: <br />TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGE <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />5) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION: <br />SEWER SERVICE: <br />LOCATION OF SIDE SEWER OR <br />-'/3 W 06 M. // _ <br />INFO COMPILED BY <br />REVIEW: <br />APPROVI <br />TRUNK <br />LATERAL <br />$ 7 SUY'�'�1 <br />$ d <br />$ 50, 0 CJ <br />MAIN: CHART <br />� - . 1 _ _ - <br />=This total must be paid before building permit is issued. <br />DA <br />DATE <br />DATE <br />