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y: <br />. " I3UILDING PERMIT INFORMATIOI�T <br />ADDRESS � C) �j � A' �� S ��.J <br />TYP� OF BUILDINC= ��(Z� DATE I�-Z I- <br />1) BUILDING PERMIT FEE $ �� -���— <br />(A) PLAN CHECK FEE � f.� O� t'" .,U <br />2) WATE�E: SERVIGE TO IIE PAID BEFORE BUILDIAiG ��^�— <br />P�RMIT IS ISSU.ED J �o� � <br />(A) TO B� DE�ERMIt�tED BY PLBG. INSP. ��`� INCH <br />// <br />(Bj EXIST. WATER SERVICE, APPL. NO. <br />(C} LOCATION ��� C'1 O�/ A/. S/ DE O F �1AD/Sd.a% <br />GHART <br />3) LRIVEWAY F'�RMIT TO BE PAID BEFORE BUILDING <br />PERI�4IT IS ISSUFD /� I'T. �i�,'-�•r�;'-- � D/W (TYP�) <br />TOTALT <br />4) STATUS OF SEVvER CHARG�S: <br />BOND �- DISTIZICT � FOOTAGE <br />N, S, E, W. <br />SE�VER LONNECTION GHARGES; <br />TRUNK <br />���_�•� <br />$ c �� ; �" `' i <br />LATERAL � �t �^� ' � S C� i '' <br />y3;-cu �- <br />TOTAL CONN�GTIOIQ CHARGE $ :`�� % , <br />SEW�R PEItMIT FE� $ :� D• � �; <br />CATCH BASIN PERMIT FE� <br />TO'SAL 5EWER PERMI^t F��S <br />5) MONTHLY SE�V�R Ci-IAIcCI.3: <br />SE�VEZ CONSTRUCTION: <br />TF.UNK <br />LATERAL <br />•� SEWER SERVICE: <br />$ --. ___ _ <br />$. <br />� <br />$ �, , � �1 <br />LOC�ITIODi OF SIDE SEVd�F UR TEE IiQ THE MAIN: CHART ��- I`-`� �' � <br />_ � <br />� i r�� I ;�lf�'G %<'"�/ . � i�'�'- - /17- P-url ( n� l�l,<��� _:�,,,�;. <br />� �.. � - �G � ��� � � � <br />INFO COMPILED BY: �' i rL'inL S�-, nAT� �/'ti(�%- �`/ <br />REVIEZ�': /% ?IDL��Q%ns.-c_ ---- DATE // 2 Z 7¢ <br />APP120V <br />°� This tota? must be p�id beiurc l:�uildin� permit is issued. <br />DA T E �/ �(v :�� <br />