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• ` • • _ ? . _ � • ., 'r <br />`�,, �� BUILDIIQG PERMIT INFORMATION <br />� ^; --- <br />ADUF,ESS �� � � � I �� �' % � <br />1'7PE OF BUILDING � � i< < <br />1) BUILDING PER2vIIT FEE -�G}� y_x;• �n <br />(A) PLAN CHECK FEE <br />2) P/ATER SERVICE TO bE FAID BEFGRE BUILDING <br />PERMIi IS ISSUED <br />(A) TO BE DETERMINED BY PLBG. INSP. �� INCH <br />(B) EXIST. WATER SERVICE, APPL. NO. <br />(C) L/O/CATION �Z �� �•�� % o-N I3 � � � <br />/�� CHART U—/9D <br />3) DRIVEWAY YERMIT�'O �E PAID BEFORE BUILDING <br />PERMIT iS ISS;JED �(p' FT. (�,,1�� D/W (TYPE) <br />�i) STAT'US OF SEIVER CHARG�S: <br />BOND DISTRICT <br />LANDSCAPE NOTES <br />TOTAL�� <br />No/Zj //C�/� /� <br />_ FOOTAGE <br />N, S, E, W. <br />SE�VER CONNECTION CHARGES: <br />TRUNK <br />LATERP.L <br />TOTAL CONNECTION CHARGF <br />SEWER PERMIT FEE <br />CATCH BASiN PERMIT FEE <br />TOTAL SE.YER PERMIT FEES <br />5) MONTHLY 5��1'�R CHARGES: <br />SEWER CONS'TRUCTION: <br />% - <br />D.�TE '.� _ �,' _ „` j' <br />�� l�S. ��� . <br />�g �j�J. b <br />� <br />$ `� 0 0 . '"° , <br />$ �.> . o-rJ <br />� <br />$ ^'_"� <br />� 30 vo — <br />r <br />� <br />av <br />TRUNK $ -�' <br />LATERAL $ s <br />S�WEF. SERVICi: $ Z� � <br />LOCATION OF SIDE SEWER OR TEE IN THE MAIN: CHART Z— 7—Z� S <br />�v✓'�l� � / : / �T-ee ) � � /' <br />/� . ,, �' C��� j.�� <br />v •� ,� 3, � <br />INFO COMPILED BY: ��„ DATE _ <br />REVI: <br />APPI <br />�This total must Ue paid before building permit is issued. <br />DATE ���=�'�%_S <br />I <br />DATE ����/�/� <br />