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BUILllING PERMIT INFORMATIOh <br />i, � —�— <br />ADDRESS '' � L-'' ' <br />— � � / .- � / (C '.`�!' . ��' t <br />TY PE OF BUILDING '%%!% (- / y- � � <br />---- � -- - ' DATE �,' �/ jy <br />I) EUILDIN� PERMIT FEF. <br />(A) PLAN CH�CK FEF: � � �"?'U `� <br />$_ i_/., , U �) <br />2) �VATER Sf;RVICE TO BE PAID BEFORE BUILDING <br />PERMIT I:; ISSUED <br />(A) TO BE DETER �INED I3Y FLBG, INSP.��_ INCH <br />(B) EXIST. WATER SERVICE, APpL, NO. <br />(C) LOCATiON � ; ,�� . �- ^ �..� , <br />1�i/i� f:. _" ,�..��, v <br />� �. ` � c� r: HA R?' '� �-_� y t <br />3) DRIVEIVAY PERMIT TO BE PAID BEFORE BUILDING <br />PERMIT IS ISS:7ED 1� FT. �?� ,�.�,�� ��.l D/1'✓ (TYPE) <br />5 1 - ) <br />S . � � , ��"l <br />4) STATUS OF SE�YER C1-IARGES: TnTAi.' $ <br />BOND_l-i�-- DISTRICT -, (/__ FOO'I'AGE <br />N, S, E, �t', <br />L!INDSrqpE NOTES <br />SE�4'ER CONNECTION CH,qRGES: <br />TRUNI: a � � _ _1 <br />LATERAL <br />TOTAL CONNECTION CHARGE <br />SE:�VER PERMIT FEE <br />CATCIi BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FE:ES <br />5) MONTHI,Y �E�VER CHARGES: <br />SEWER CONSTR(ICTICN; <br />SEWER SEF.VICE: <br />LOCATION OF SIDE SELti'E/R <br />- , , ,, 1 � <br />INFO COMYILED BY; s�, �, <br />, ---r— <br />REVIEW: <br />APPROVA <br />TRUNK <br />LATERAL <br />OR TE� 1I�? '1'HE Iv'.AIN: CI-IART <br />•, '; '; _ . ' ' �/ i - <br />$ .' \ <br />$ — -- -- <br />r`'._ i ,, .� r i <br />��� <br />,� <br />',%: �'� t. - %r'i ' <br />DATE - 'y <br />----=—�_ <br />DATE /-'/_ ��_ <br />DATE /,�''� <br />'`Thia l:otal must be paid hefor;; building permit is issued. <br />