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ADDRESS <br />TYPE OF BUILDING <br />BUILDING PERIv <br />!� !A� � <br />1) IiUILDING PERMI't' FEE <br />(A) PLAN CHECK FEE <br />2) �VATER SERVICE TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED <br />4) <br />(A) TO BE DETERVIINED BY P�BG. INSP; <br />ll � <br />(B) �XIST. WATER SERVICE, AP <br />(C) LQCATION � y y. � I�i � �i <br />NO. <br />INC H <br />I.� <br />DAT� //-/9-%j' <br />$ /33� .L� �� <br />$ ,,,,�Z= <br />w o <br />�.. f 2�5.00 <br />• G � � CHART !w/ ��o� <br />D12IVE�VA PERMIT TO BE PAID BEFORE BUILDING <br />PER�iIT IS IS.�'iQ�D � FT. �D/W �TYP�F� $��O <br />�C ` r��_/�� <br />TO A� $ ����. G� <br />STATUS OF SENER CHARGES: �Q7 ,�/�k <br />I30;VD � DJSTRICT �_ FOOTA�E �"(%—' ��%� (r`�• � <br />N , S , W , ;i�4-r��...s..c.O <br />La�i�sc;Art� Nulr:� <br />SE�VER CONNLCTION CHARGES: � 7t'�"' <br />TRUNK4-?� c=, S� �I�%SO <br />LAT�RAL �'j`J"'"" S 3�oS.QA <br />TOTAL COi1TNECTIOI�Y���'i��$ �GZ.•� <br />SE�V�R PERMIT rEE � � $ ��. � <br />CATCH BASIN P�RMIT FEE <br />TOTAL SE�YER PERMIT FEES <br />5i \SO\TTIILY SE�4ER CHARGES; <br />SE\VER CONSTRUCTION: <br />TRUNI{ <br />LATERAL <br />SE�"7ER SERVICF.: <br />LOG � TION OF SIDE SEtii�ER OR TEE IN THE MAII`T: GI-iART <br />- '--s' '. � J- ` - - . S� si -' - - • iJl <br />O CO`�IPILED BY <br />RECIE�V: <br />:1PPROVAL. <br />. • /� � .f' <br />. <br />This total must be �aid before building permit is issued. <br />$ <br />s 30. " <br />$ . �� <br />$ �. �0 <br />$ �h. <br />•� /� �� � <br />. i .�_ <br />DATE / /-/ �-7�� <br />DATF1� �p/7S <br />DATE //- Z'� 7J� <br />