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f <br />� <br /> . . BUILDING PERMIT INFORMATION <br /> ADDRESS �� � �'�/ �(�'Gl!� �f' <br /> � TI'PE OF BTJILDING `� i�/'�i7� /''r�/�f-�%��.e`/�l� DATE /`�i'- ;1-� <br /> 1) BUILDIIVG PERMIT FEE $ �S.G> ,� <br /> (A) PLAN CHECK FEE � /�(� �?.S� <br /> 2) WATER SERVICE TO BE PAID BEFORE BUILDING � % l d (] <br /> PERMIT LS ISSUED � ��; <br /> A) TO BE DET�RMINED BY PLBG. INSP.�� II•1CH <br /> (B) EXIST. WATEc2 SERVICE, APPL, NO. <br /> (C) LOCATION �p�� C� ��. Loc'�7��C0 �,�%/�/�p 5_Lt/ . �r',1i <br /> Fl�ST ��iJ�' CHART'N- 7�o � <br /> 3) DRIVEtiVAY PERMIT TO BF PAID BEFORE I3UILDING � 1 �r <br /> PERMIT IS ISS:JED FT. D/1V (TYPE) S��' -�—=-- <br /> _/NC'o(c'Ebr �.a'l.��r F>�C��+? ,eCL/�Y' <br /> TOTALT $ ���p, �S <br /> 4) STATUS OF SE�VER CHARGES: �l(o/���{ �=�/1C.O <br /> BOND DISTRICT FOOTAGE <br /> N, S, E, tiY, <br /> LANDSCAPE NpT'ES SI�\VER CONNECTION CHARGES: <br /> TRUNK $ <br /> LATERAL $ � <br /> TOTAI. CONNECTION CHARGE $ <br /> SEWER PERMIT FEE $ .�(�, (� �J <br /> GATCH BASIN PERMIT FEE ' $ �C1 . 4 � <br /> TOTAL SEWER PERMIT FEES $ �fO. 4 C� <br /> 5) 2✓lONTHLY SEWER CHARGES: , <br /> SEWER CONSTRUCTION: <br /> TRUNK $ ��� <br /> � LATERAL $ <br /> SEWER SERVICE: $ ME��'��D <br /> LOCATION OF SIDE SEWER OR TEE IN THE MAIN: CHART ��-I / -�9-J <br /> �`/��/�ax /��C: ' Sn. oF M. �! �N �c� !�`� �I��Prh{ /v ' ,�iU/J <br /> _ !�/�l'�n� /7� ' �so. nF z�,f/ /N aa�� ,DlG�lci)X // � D, <br /> INFO COMPILED BY; '"✓, �z.�� � DATE / -,j'/."] ( <br /> ��y��7 ---�._ <br /> . REVIEW: �� , C�/i�-�.1z l� � DATE / �G Jj� <br /> � 4 �y� L. RA �I�NISION <br /> APPRQ� AL� ��:. DATE�6 " `J" <br /> ENGINEERING DEPARTMENT � <br /> �Thie total muat be paid before building permit is isaued. <br /> I <br />�I <br /> I <br />