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BUILDING YER\tI'f INFOIi�fA"I'ION_ <br /> � . � i <br /> � - , , <br /> AllDRFSS �� ��',�� �� /` / ��/�' � � i ', <br /> Tl'YE OF IIUILDING ` '� IJ/�'� ;" , :� 'l,. ','/i'�'N," DATE , �- .� "%' �'i <br /> 11 IIUILDIVG PERb1IT' FEE $ �� �,' `� ` � <br /> (A) PLAN CHECK FEE $ ' ' ` � � <br /> Z� «'ATER SERVICE TO IIE PAID F3EI'ORE 13UILDING � /(�� <br /> PER\IIT IS ISSUED <br /> (A� 'TO IIE DETER,�INED BY PLE3G. INSP.�_ INCH <br /> (I3) E:CIST. �VATEd SERVICE, APPL. LiO. <br /> (C) LOCATION _ _ <br /> GfL'\tt T � '� <br /> � 1 DRI�'E�4'A7' PER\IIT TO IIE P.4ID BEFOItE P�tiILDING <br /> PER\fIT 1S ISS�JED �_�'�_ FT. fJ. (ii4r-'li_Dl��' (TYPE) S �`I. S �' ' _. <br /> 7� � `: , <br /> - TOTAL°`� 5 �� � � <br /> q) STATUS OF SE1�'ER CIiARGES: <br /> BOND 1_ DISTRICT _�_ FOOTAGE _� '� �' '� <br /> N, S, F:, (���., <br /> L:1\DSCAPE NOTES SE�1'ER GOV\ECTION GHARGES: . , <br /> TRUNK $ ��' �• � <br /> 3- UZ - lFlo ' `'' � <br /> „T.�ATEIt�L/ 5 .`l�/�'. `/� <br /> /cl. /// �j �,� <br /> TOTAL CONNFC�ril ;�7 CHARGE 3 �G' �� �' �� <br /> SENER PERh1IT FEE 5 -��� • �� " <br /> GATCH IIASIN PER\SIT FEE 5 <br /> TOTAI. SE�VER PERMIT FEES 5 '� • ' ' <br /> 5) MONTHI.Y 5�1VER CHARGES: � � <br /> SE�VER CONSTRUCTION: � �'�- <br /> TRUNK $ <br /> LATERAL $ • �r C"��' <br /> � <br /> SEWER SERVICE: <br /> $�',�}�- r, `;� <br /> LOCATION OF SIDE SE�VER OR TEE IN THE MAIN: CHART � ' <br /> ,, . ,� � <br /> , <br /> ' (' I /' � � . — <br /> I:�'FO CO�IPILED BY: Y �i� � %( _ DATE��'- e' � l l <br /> R�VIEW: �A,��J�.� DATL�-�—�-�'� <br /> T12Af FIC. ll1VISION <br /> APPROVALC__%�����s� DATE / /1 <br /> L•'NGINFERING DEPART'MENT <br /> This total riust bc paid hc[ore building permit is issucd. <br />