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J�4.�ga_oo � <br />A�n�ss ' ;��� l S��'i�1r �l �'J,=�.'. <br />T':?L OF BUILDING�,��y� � f�/`�����Y <br />(1) BUILDING PERMIT F�E <br />(A) PLAN CHECK FEE <br />(2) WATER SERVICE TO BE PAID IIL•:FORE BUILDING <br />PERMIT IS ISSUED <br />(A) TO BE DE'fERhiINED I3Y PI.IIG. INSP. INCH <br />(B) EXISTING ?NCH WATER SERVICE <br />APPLICATION NO. <br />(3) DRIVEWAY PERMIT TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUF.D FT. � D/W (TYPE) $ <br />r.SSC��� � A!'�F�nd�,E� /`rJ�-7�%� TOTAL=' cX� ��. ��l� <br />(4) 5TATUS OF SEWER CHARGES: <br />gpI1D _J .I�__ DISTRICT -�)'" FOOTAGE _. <br />N,S,E,N' � <br />SEWER CONNECTION CFiARGES: /7 l � I I/I III <br />TRUNK $� �' S t� �L <br />LATERAL <br />TOTAL C0:INECTION CHARGE <br />SEWER PERMIT ?'EE <br />CATCH BASIN PERMIT FEE <br />TOTAL SE'NER PEI:MIT FEES <br />(5) 'vfODTTHLY Sr:�l'ER CHARGES: <br />SEWER CONSTRUCTION: <br />TRUNK <br />LATERAL <br />SEWER SERVICE <br />$ — _ <br />� l37, Sl� <br />� 30.�a _ <br />� <br />$ 30�, 0 � <br />� �� , �� �S -- <br />$ ��( � � � <br />--=J�-- — - <br />TOTAL $ ��' /'`' <br />LOCATION OF SI� SE�Yr'R OR T�E IN THE MAIN: <br />� r <br />/� �,,�r,�/ e s, . P.C, ai'�;:_'�� !< <;> � .. <br />� ; �;/ �; ��I,t;��.- i <br />INFO COMPILrD BY <br />TThis tctal must'�c paid bcforc DpTE // �` / T <br />buildin� permi: :.s issucd — <br />