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� '�5 i 11Y J �f<�,� r ri�-i ,r�,ti DATE r v � � � � � <br /> : OF BUILDING �%���`_ � ��//�/L-� ,� C .�!{✓��f�c� <br /> BUILDING PERMIT FEE $ /�P.DO '� <br /> (A) PLAN CHECK FEE $ ��� � � <br /> (2) WATER SERVICE TO BE PAID BEFORE BUILDING <br /> PERMIT IS ISSUED � $ <br /> (A) TO BE DETERMINED BY PLBG. INSP. INCH <br /> (B) EXISTING � INCH WATER SERVICE <br /> APPLICATION NO. [ J �C>.� <br /> (3) DRIVEWAY PERMIT TO BE PAID BEFORE BUILDING <br /> PERMIT IS ISSUED �ZFT. c c�+[•�'�'!FE-' D/W (TYPE) $ R� � S C� <br /> � <br /> �, � �; ; - _ . _T� ,�,Y�-� .�, �a a o <br /> lG`.. ^ , =I '/�r r ��� TOTAL $ . � <br /> l - <br /> � C � <br /> (4) STATUS OF SEIVER CHARGES: <br /> BOND .� DISTRICT R�' ' F OOTAGE <br /> N, S, E, W <br /> SEWER CONNECTION CH.:aRGES: <br /> TRUNK $ <br /> LATE?'..AL $ <br /> TOTAL CJNNECTION CHARGE $ <br /> �U,d <br /> SEWER PERi�IIT FEE $ � �� <br /> CATCH BASIN PERMIT FEE $ ��- <br /> O,c�, <br /> TOTAL SE�S'ER PERI�IIT FEES $ �`�� <br /> (5) MONTHLY SE�4rER CHARGES: <br /> SE�VER CONSTRUCTION: <br /> TRUNK $ I• !S <br /> ' LATERAL $ �� , �S <br /> SEWER SERVICE $ � ��. � <br /> TOTAL $ � �a �! <br /> LUCATION OF SIDE SEtiVER OR TEE IN THE MAIN: �;'r�s j„J�_ .y��C,E-�.� <br /> �kr�'F� 1��`� % � 0. .'s � � ,� cr �^/'�- �.: c ' l/1/ c�f /� �r'���, <br /> /� �/� ; ,-� <br /> L�!' �%r✓�L�l��i�1ul ��� �, . , /' l r`( �� <br /> iNFO COMPILED BY t <br /> �This total must be paid before , <br /> building permit is issued DATE ' ��"�' �"l <br /> --�r.z. <br />