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L �:tlidcNf OF CUf.;,s1U?iii7 D`.!��LU.?.i.._ i Sf.RVICES <br />�u �J � � � 1 �'�] � �';c � �,�� � a � �l i� �� � i`v�,'-� `� 7 � i�J <br />ADDRESS �� Lo�Lai E.�/f----•>�_�;�_R--il �-1n�TYPE �oM� . <br />(1) E3UILDING P[RMI�f FEE lOS�F�•�`� � Zqg. tro <br />(�) PLAN CFIECK F[E Po.'�` �-4��54- <br />('l) PLUMBING . . l 8. g0 <br />(3) MECI-IANICAL � �' d� <br />(4) WATER SERVICE TO BE PAID PRIOR TO E3UILDING UERMIT ISSUANCE 3-15 •�d .�„ <br />� <br />(A) TO 13E DETERMINED BY BLDG INSPECTOR I INCH � <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPRO>;.LOCATION Cr��b•�-. /���'-' hvP2f9f� d.S� . <br />E oe� �'.. Eya-�ci��CHART S— lSd-- / <br />(5) DRIVEWAY P'�RMiT TO BE PAID PRIOR TO BUILDWG PcRMIT IS- <br />I-�,o 3�.SC7 . <br />SUANCE �=">5 FEET �"„" T L'RIVEWAY(TYPE) S <br />S <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICI' FOOTAGE <br />NOTES <br />N, S, E, W <br />SEWER CONNECTION CHARGES <br />YEAR � � TRUNK $ <br />LATERAL <br />TOTAL CONNECTION CHARGES $ <br />�_' o0 <br />�33 � <br />SEWER PERMIT FEE ���,,} $ - �3��� <br />CATCH BASIN PERMIT FEE �/ d� �� <br />TOTAL SEWER PERMIT FEES $ �� <br />(7j MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION TRUCK 5 <br />LATERAL <br />SEWER S[RVICE <br />APPROX.LOCATIONOFSIDESGWERORTE[INTFIEMAIN: ����/���� /=•nr'`�K � <br />�- u �� �l r.v; L A; 7-z, �,..; <br />2 � �_ � �� � Ch � � �ru._��-� W �_—, <br />f �[. l�oP�2o� i�j� � j /�-I El� M. ! 1. � l O� CFIP,RT Q- ln-Z�--'� <br />%-f.1�o l�o.:�rzcr,� 2�3 r--� .�/. a� M.N. :r 8'0. �rrd. A-t-F-e�q P��.��-ot-rirz�- <br />�-lJ�'-2�-G26Z� W P✓ <br />IIdFO CUA1PILED [3Y; _ DA�E <br />APPROVAL: <br />DATt <br />