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�`4f/LE ABUILDING PERMIT INFORMATION v <br />ADDRESS / !�C/ GL�'iJF,/e /K4� TYPE <br />1) BUILDING PERMIT FEE 401ED ),cLc--, $ ((per• moo' <br />(A) PLA14 CHECK FEE $ <br />2) WATER SERVICE TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED I $ <br />(A) TO BE DETERMINED BY PLBG..INSP. _ INCH • 4 3'��� <br />3 7 Msb� —o— <br />�:cS�. EXIST. WATER SERVICE; APPL. NO. �7�tO7 <br />!� (C) APPROX. /LOCATION <br />SG, CHART <br />3) DRIVEWAY PERMIT TO BE PAID BEFORE BUILDING Q, <br />PERMIT IS ISSUED / / FT. D/W (TYPE) <br />TOTAL $ <br />4) STATUS OF SEWER CHARGES: (p <br />BOND_ DISTRICT_ FOOTAGE <br />N, S,`E W. <br />NOTES <br />5) MONTHLY SEWER CHARGES: <br />SEWER CONNECTION CHARGES: <br />YEAR TRUNK ss�� / $— (p •• SO <br />LATERAL G�• PQ$�iT/ • �O� <br />TOTAL CONNECTION CHARGE $ 3D•�D <br />SEWER PERMIT FEE l3D16 $ OD <br />CATCH BASIN PERMIT FEL $��,j3/O�'= <br />TOTAL SEWER PERMIT FEES $ 00 <br />SEWER CONSTRUCTION: <br />3 y� <br />SEWER SERVICE: <br />TRUNK $ <br />LATERAL $ <br />00 <br />F �$ID$,SEWER�OPLT,E�E 7,2Q THE <br />INFO COMPILED BY: DATE_ <br />REVIEW: DATE <br />PROJECTS DIVISION <br />APPROVAL: DATE <br />ENGINEERING DEPARTMENT <br />* This total, must be raid hnfgro <br />