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IIULLDING PER?vff`I"�NFORv1ATION _ <br /> ADDI2ESS �� �-��S �j%�i�'G��c�'L��/V Ccl� <br /> TYPE OF BUIi.DING F�TAr✓�iQ�T DA�TE _;�J'. �7� <br /> r <br /> 1) BUILDI��7G PERMIT FEE � 1�ji� ��� �� ��f��). � <br /> (A) PLAN CHECK FEE ��"$' `�'lZ � <br /> 2) �VATER SERVICE TO B � PAID BEFORE BUILDING ��� S-� � <br /> PER\fIT IS ISSUED <br /> (A) TO BE DETER��IIVED IIY PLBG, iNSP. Z�� INCH �� � <br /> (B) EY.Ib1. WATEtt SERVICE, APPL. TJO. <br /> (C) LOC:ATION �. �j c� � (,� , .�- . C�/�! ��15 i SiD,�c dG <br /> �i,�2 �'��n/'lrri/�l �-c .�u/ ' CHART � -��(r�' <br /> 3) DF.IVE�VAY PT:P.iVi_T TO BE PAID BEFOR� BUILDING � �y _ <br /> PER\tIT IS ISS•.TED 3-�R9 FT, r7S'-N/�LT� D/tiG (TYPE) �$� `��� Q � <br /> " TOTAL �� � �Z��• S� <br /> �) ST4TU5 OF SE�VER CI-L3RGES:� r <br /> BOND � DISTRIC'� .�S FOOTAGE f '� `L <br /> N, S, E, � <br /> T ^. `'�,.. -�^_--^� NOTES SEjPER CONNECTION CHARGES: �j <br /> TRUi�TK $ J 7�i ��U / <br /> P✓�-D (l( KJ �' ��S'1 ]-C�-f LATERAL $ 7•S9• �Z� � <br /> TOTAL CONNECTION CHARGE $ a 37� �`f � <br /> �As��'S - �0� T� � <br /> SE�Y:R PERI�IT. FEE 'c���� $ �C�, O �% <br /> C I l°� l o.o c .r..+ r�v�,v.� �I�����-�+� <br /> ��AW'`'�� � ��-3 CATCH BASLN PER;vIIT FEE �''��' <br /> i � ���2 ��g�- y <br /> � TOTAL SE�YEI2 PERMIT FEES �yS ���'q <br /> 5) Iv10NTHLY SEtiVLl� CHARGES: i ���-Y�" °6�^`� � <br /> SEWER CONSTRUCTION: u " � / 1 <br /> TRUNK $ s. �(G� <br /> ' LATERAL $ Cp. .3C�� <br /> � SE'vVER SERVIGE: $ M�.r�.�r"� <br /> LOCATIOi1 OF SIDE SEWER OR TEE IIQ THE MAIN: CHART �� �,3- ���-`� <br /> S%Ua.��Q 7�0 O� l�j �C�, a� �I,N, ,'�:� F�uN � D� <br /> �o u�S: - �D��TJ �' � � � ; ' G <br /> INFO COMPILED BY• J � DATE y- � 1- 7J _ <br /> �, REVIEW: 'c�-'--'"�� DATE_��� <br /> TRAFFIC DIVISION � <br /> • �APPRO'�`aL: � ' DATE �7i J' <br /> . <br /> IN RING DEPAR'TM T <br /> � � �fi'��' o�l <l�� <br /> �=This total must be paid before building permit is issued. <br />