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i <br /> �._ <br /> l <br /> . �' . <br /> ]3UILDING PERMIT INFORMATION <br /> _1lli)RESS ��� J �[��/�- (('�/�.��r✓ v+✓� r �r - <br /> TYP� OF BUILDING ,�,��d"'n�SJ�����eQ�� DATEIG -ZJ'�'�,,�� <br /> 1) IIUILDING PERMIT FEE � � �� , OG�j , o� U� <br /> $ �`t � a <br /> (A) PLAN CH�CI{ F�E � ZO� .���- <br /> 2�NATER SERVICE TO IiL PAID l3Ei'ORE BUILDING �,-_y_ <br /> i ERr1IT IS ISSUED g Z�'S ' <br /> (A)�CO II� DETERMIN�D BY PLEG. INSY. INCH <br /> (B) EYIST. WATER SERVICE, APPL. NO. <br /> � <br /> (C) LOCA'CION � ��.a� � �YlAri�( L�'c�,-� i c�•� ��F�v�r L�C /.i�, � . <br /> ��� c�F� L�. `' c� CHART S � dS� <br /> 3) DRI�'E\VAY PERMIT TO BE PAID E�LFORE BUILDING ,' � `, <br /> PPr'R\1IT IS ISS�7ED�'c.' �-s'i- FT.�IIi:',i%,.'�— D/lV (TYYE) �$ �c�. � O � <br /> TOTAL�� � <br /> �1� STATUS O7�' SE�YER GI-IARGiS: 1 <br /> BOND�L DISTRICT �J FOOTAGE /J `/ <br /> N, 5, E, Vd <br /> ! LANDSCAP� NOTES S�WER �CONN�CTION CHARGES: <br /> ,�icci 3 .gy--�bo_al TRUNK �; � ���.�iil�i <br /> ;;� �Y�=�=� c�, � ��c��,�r�:�:ris , —_�.--- -- <br /> � /�,/ LQ � � � YI,c�C.� . ,ATERAL $ ���' Y�Uc -- <br /> ��/ ��'� �` TGl�lL GONNECTION CHARGE $ N��� <br /> (�[l,� -��I"��Fy:o�:=� Y c{ �.: .- r't:':�:-:,� ,:;�� SEWF..I2 PERM�T FEE $ +.�.0' Q , <br /> � C� 10... ---7`— <br /> '� S j _ / � G ^ r �cflqNGc CATCH BASIN PERVIIT FEE � $ �p, ,�-p / <br /> '� ' J ` F`'��t TO� TOTAL SE�VER PERMIT FEES S <br /> i5 <br /> 5) MONTHLY SEWER CHARGES: <br /> SE�VER COA'STRUCTION; <br /> ��Ij /�L-/7J '� ()r)C-/Tj �3JC.CJVfr TRUNI{ yS" `�� +�'� � <br /> F)( �Gia 1�l�G' NGw :9 PD,CC�S'C-� fp2 LATERAL � S 7C�. <br /> �Cc7' 3-3S"- ��° "o I td hE�/ s,s.r,v�� <br /> ��RN�,r `SS-v�D SEIVER S�RVICE: $/fJ�r6-,Ekj� <br /> LOCATION OF SIDE SEWER OR TEE IN THE MAIN: CHART� � I,3 ' �� ' � <br /> JC+ti��'t'S SlT(✓�5.`�D �!� �'„Si ���- P)/'�i%�6F /c � Na.Pi fl ��;ti' /`'1� �-�. �/1/7:20F7 ���L/' <br /> � <br /> � � 1iul� r�%i%c`�F i� So��T/f n�= /v'l.N, O�Pa� � ��i/�L <br /> INI'O CO\4PILE� BY: � � � � DA�E /G <:� �f Z _ <br /> REVIEIV: ��� � DATE lD 2 <br /> TRAF C DIVISION <br /> APPROl'AL: � C!���`'�C- DATE D Z�/21' <br /> � <br /> Ei' I1 ERI\G DEPARTMENT f ���� <br /> This Cotal n:ust be paid Ue£ore building permit is issued. <br />