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_ � _ <br />BUILDING PERMIT II\TFORMATION <br />J .. , <br />ADDRESS <br />TYPE OF BTJILDING CoM� � 2e r �a � DATE <br />1) BUILDING PERM?T FEE <br />(A) PLAN CHECK FEE <br />2) WATER SERVICE TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED <br />(A) TU BE DE'TERMINED BY PT.BG. ITISP. INCH <br />(D) EXIST. �'7ATER SERVICE, APPL. NO. <br />(C) LOCATION <br />CHART <br />3) DRIVEWAY PERMIT TO BE PAIll BEFORE BUILDING <br />PERMIT IS ISS7ED FT. D/W (TYPE) <br />.,.e—�i 4) STATUS UF SEWER CHARGES: <br />BUND� DISTRICT �� <br />LANDSCAPE NOTES <br />I V�Rj FY ��8l.UGG � ��CC;�al.tifEc7lc>. <br />�,ur 7'H S� �.c;�:+� ;.��1 ��1a-c�.e, <br />3-3`�- �74-d� ..�- <br />TOTAL�� <br />FOOTAGE 7�� � <br />N, S, �:, W. <br />SEWER CONNECTION CHARGES: <br />TRUNi<. <br />� /���)//� LATERALc �/ ,e. <br />N'JR�C. E Z� I J P P�! <br />TOTAL GUPINECTIQ\ CHARGE <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />OTAL SEWER PERMIT FEES <br />5) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION: <br />TRUD:K <br />LATERAL <br />SEWER SERVICE: <br />Cy <br />„ 7S c�+�e5 <br />� <br />y �GO, �O <br />S 9/�.�� <br />� � � � z. �-b� — <br />$ 3CiAo <br />� — <br />� �O pO <br />� /o. y z <br />� /3•g � <br />$ �vE7�eED <br />LOCATION OF SID SEWER Olj TEE IN THE MAIN: CHART x--/Q—Zi—�- <br />s�rib o� o� 8" i''�n,w. uJ. ' � Ev G./ <br />? 3' S.fl. o-�- M,�l. /o��s/,„ �,r� 9�oa e�r .�' <br />INFO COMPILED BY: _ DATE / /S <br />R�VIE�1r: DATE _ <br />TRAFFIC DIVISION <br />APPROVAL: DATE <br />�NGINEERING DEPARTMENT <br />==This total must be paid before building permit is iss�ied. <br />