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a <br />t <br />ARES <br />DDS 7�U <br />TYPE OF BUILDING <br />11 BUILDVZG PERMIT FEE <br />(p) PLAN CHECK FEE <br />\5'AT£R SERVIUEDO BE PAID BEFORE BUILDING <br />2) <br />5) <br />/9`3 Y/ <br />unrvin i iviv C//PAIr- <br />.< F. <br />DATE,_ <br />e S��/u iaev.oy <br />PERMIT IS ISS INCH(A) TO BE DETERMLNED BY PLBG. INSP.� <br />It (B) EXIST. 57, WATER SERVICE, APPL. NO. /^ a3? <br />(C) LOCATION On CHART�a <br />neD/�',' (TYPEI <br />DRIVE��'A1' pER�lIT TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED LS � FT. TCTA? S 0 <br />41 .STATUS OF SEWER CHARGES: FOOTAGE <br />D <br />BON` DISTRICT _ °2_�_ S, E, <br />N <br />00 <br />SENti'EF: CONNECTTU K ARGE $ <br />RR <br />LATERAL <br />S. <br />TOTAL C01:�ECTIO�f%%N CHA G�E� S �O Q <br />SEWER PERMIT Fad <br />� � <br />CATCH BASIN PERMIT FE <br />TOTAL SEWER PERMIT FEES S <br />5) MO ESERER OGSTRUCTION: <br />SEWER SERVICE: <br />TRUNK <br />LATERAL <br />LOCATION OF SIDE SEWER OR TEE INTHE: MAIN: <br />.,_ .__ n. n i,19-74-/ �--- <br />CHART <br />/ e i_ /),/J n ` /i%,i% <br />DATE L `oZ <br />INFO COMP <br />APPROVAL: <br />This total inust be paid before building permit is issued. <br />