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i+ <br /> 1 <br /> BUILDIIQG PER.�iIT I:QFORMATION <br /> /� �; <br /> ADDRESS .� (L /�`y' � / / %/Ji � <br /> TYPF. OF BUILDING _ /;t:��� � ! ��' ' - <_ %G;j�i iDATE - <br /> 1) BUII.DING PERMIT FEE . � $ �,� ,���j,/�/) <br /> (A) PLAN CHECK FEE $ � y, C� (J <br /> 2) WATER SERVICE TO BE PA:D BEFORE BUILDING <br /> PERMIT IS ISSUED c� <br /> (A� TO BE DETERMINED BY PLBG. INSP, INCH <br /> l� ' <br /> (B) EXIST. WATEI2 SERVICE, APPL. NO. <br /> (G) LOCATION <br /> CHART <br /> 3) DRI'JEIVAY PERh4IT TO BE PAID BEFORE BUILDING <br /> PERr1IT IS ISS;7ED FT. D/1V (TYPE) $ `—�- <br /> TOTALT $`� '1 , [C CJ <br /> 4) STATUS OF SE�PER CHARGES: <br /> F+nND DISTRICT FOOTAGE <br /> N, S, E, W, <br /> LANDSCAPE NOTES SEWER CONNECTION CHARGES: <br /> TRUNK � <br /> LATERAL $ <br /> TOTAL CONNECTICN GHARGE $ <br /> SEWER PERMIT FEE $ /iJ, � �" � <br /> CATCH BASIN PERMIT FEE $ - ----- <br /> TOTAL SEWER PERMIT FEES $ . �'1. � � �- � <br /> 5) MONTHLY SEWFR CHARGES: , <br /> SEWER CONSTRUCTION: <br /> TRUNK $ <br /> I � LATERAL $ ' <br /> SEWER SERVICE: $ <br /> LOCATION OF SIDE SEWER OR TEE IN TIiE MAIN: GIiART /y- v( �'ag-�" <br /> L�J�L� r�P ,Nio �J%`%/�'G S/�E Sf/../�' ��r" Sa� <br /> ,S�D� D,E �c��S� <br /> INFO COMPILED BY: DATE /- J . i - <br /> REVIEW: DATE <br /> TRAFFIC DIVISION <br /> �)�� <br /> APPkOVAL: % � DATE-1�-7J` <br />, y,y ENG EERING DEPARTMENT <br /> - This total must Ue paid before building permit is issued. <br />