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- _ . ,-.,,,., <br /> /S4� .�. _.. � � <br /> � ��Z <br /> T3UILDTNG PI:RMIT INIP ORMATION <br /> ADDRESS 27O � �._T (//���• <br /> TYPE OI' f3UILDING � �� DATE <br /> 1) F3UILDING PLRMIT I'�� �5� ¢70, �G � �¢<_", DO � <br /> (A) PLAN CI-I�CK r�� $ � <br /> 2) VJAT�R S�RVICE Z"O BE PAID BErOR� BUILDING �'jp � <br /> P�RMIT IS ISSLED $ �p�• <br /> (A) TO I3� D�TERMIN�D BY PLBG. INSP. —��/J INCH /��i� �L9• �� <br /> /I -�r` � /�/.C°'�� /5r DO ; <br /> (B) �XIST. \NATER S�RVICE, APPL. NO. <br /> (C) LOCATION (D �� C• _� �i�uJ , /�.pF�/Gp � ' <br /> �¢ '1�T f•� . 6r� S. t N T R T cj-ZZSr � ✓ <br /> 3) DRIVE�VAY PERMIT TO IIE PAID I3L"FORL T3UILDING <br /> P�RMIT IS ISSJ�D 2 �j FT. GO�CJG, D/W (TYP7�) $ ��. 'S� <br /> TOTAL�� � �Z�0�� S� <br /> 4) STATUS Or 5E;VER CITS�RGI,S: <br /> I30ND � D1�TRICT __�C� I'OOTAG� <br /> N. S, �, 1V. <br /> LANDSCAPE NOTES SLWER CONrIECTION CIiARGES: D� <br /> TRUNI{ C� ��D• <br /> LAT�RAL � <br /> TOTA COtIN�CTION CHARG� $�� • C7U <br /> • �f�'� p�`'�e ,p -- <br /> �1'✓Eh 1�EP.MiT F�E $ �• dG <br /> CATCI3 BASIN PERMIT i'�� $ <br /> TOTAL S��NER PLRMTT FEES $ JCJ� � � ' <br /> 5) \40NTHLY SE1V�R CHARGES: , ' <br /> SE11��R COASTRUCTIOAT: <br /> TRliNI{ $ �� �'S <br /> LAT�RAL $ � <br /> S13WFR S�RVICL; $ rL � SO <br /> LOCATION UI' SID), SE �V�R OR TLi�' IN TI-I� MA.IN: CIIART 7= 8-Z8-'S <br /> " ��,Qi�cJ /,t/ J,� G(J L�J7�..nc. ,aPP2.�c r �G� E o� Nt I-{ � -- <br /> /�.P Peo� 9 'F r.� I�-r- Y'R�PEIz� �.� �-.� <br /> INI'O COn4PILLD 13Y: . DATC <br /> RT1'IE�'1T: DAT1: <br /> TIZAFL'IC DIVISION <br /> A1?PROVAL: DAT7�' <br /> LIVGIPJliL12fNG 1�I:PAK'i'ML:N'1' � <br /> �°This tutal niust: I>e p�id befr>re buildir�; �?cr�nit is issced. <br /> ��'a <br />