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l <br /> �. <br /> - � - IIUILDING PER\•tI'1' INI'OI2�,ATION - <br /> :�1�DRESS �S I �/ ,�` �CG� C��'��� L��� Y <br /> TYPE OF IIUILDING ��/�%��.5 � L ����/!� C��'��� � DATE � / i�S— <br /> 1) BUILDIV'G PERMIT z'EE �--�-��7�' �� <br /> (A) PLAN CHEGi'. FLF. �— 2,4' �y <br /> 2) �VATER SERVICE TO B'� PAID BEI'ORE IIUILDING � �{ �. � <br /> PER\IIT IS ISSUED •tr <br /> (A) TO BE DETER�IINED BY PLIIG. INSP. Z �r INCH <br /> (B) EYIST. WAT�A SERVICE, APPL. NO. <br /> (C) LOCATION �Z�� C,T . G��,�:;aT6'.c3 Af�P_ >( �s` �� �,:`- <br /> � �/L • CI-LART S -;,�.5`{ <br /> J <br /> 5) DRI�'�.�vAY PERilIIT TO BE PAID BEFOR� BtiILDING <br /> PER\IIT IS 7SS�JED FT. D/�V (TYPE) $ Z�. c�' - _ <br /> . TOTAL'� $ ��90' d� <br /> '�) STATUS OF ST:�ti'ER CHARGESi� � <br /> . � <br /> BOND� DISTRICT �S FOOTAGE I �� �� <br /> \, S, E, V. <br /> L�\DSC:�P,J \OTES SE\1'ER CONNEC7ION CFL�,RGES: .- <br /> TRUNK S �'� � � ' � <br /> 33S — �-C�`7— O ( LATERAL iGly�'7���S -� �f/, / 0 _ — <br /> t <br /> TOTAL CONNECTION CH. R E 51j�3 �� , I 6 _ <br /> SE�9ER PERMIT FEE �� 7/�?r7i� `�35 ��' �O <br /> ���CH BASL�I PER�4IT FEE 5 (dU ' � U <br /> �/J.00 r �D-oo i:DitlAf . <br /> � TOTAL SE�VER PERMIT` FEES $ �f�0 • �=' C� <br /> 5) MO\THLY Sr:�1'EA CHARG�S: + • <br /> SE�VER CONSTRUCTION: 3 �1 v <br /> TRUNK 5 <br /> LATERAL $ �� � � <br /> SEWEF2 SERVICE: $M.QTE,Q�� _ <br /> LOCATION OF SIDE SE�VL•'R OR TEE IN THE IviAIN: CHART � - l :i --�2�' -� <br /> �I�l �P��.f� � u �/(- �19��n��' fo4� Iv �F l�f �l 1Yf'''ux � � DFc:"�P A'� IuGSi _ <br /> � L - - : -- <br /> INFO CO�SPILED BY: �-1 . �r :�L� DATE .� � "7 -/ - __ <br /> REVIE�'V: ��"c/ � DATz'_ `J �S <br /> TRAr FIG DIVISION <br /> APPROVAi.: DATE _ <br /> ENGINEEAING DEPARTMENT <br /> `This total must be paid before building permit is issued. <br />