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BUTI.DING P�RMIT TN]'ORMATION - <br /> ADDP.�SS ' ' ,r* � _ � I� <br /> TYPE OI� BUILDING „`',�j .,>"v�-, �� _ __ _ DATL ,.r?r�� <br /> . •--� ---_ <br /> 1) P.liII,i71iQG i�i;RMIT FL L•: l � �`� <br /> �/li _ ji:'�' �' ���� <br /> (/+) PLAN CII�Cl{ I'�� $, 2� a-"> ' <br /> 2) 1'�%••7 7:1; S1�R\rIC1: 1'O I;1: 1'i:ll.) I3ET'ORL I3UILlll,tiG � <br /> , PiR1�911' 1S 1SSUED � �- --�.. .. <br /> :'�.1 'I U hI•.' DI.1'L12�fll�:i:D ]3Y FLBG. INSP. .�� INC'rI -- - <br /> �;1 i:\iST. ��(f.�'. 1'JAT�R SLRVICE, A.PPL. NO. ��,��,�' <br /> ���?O�iIC) LOCATiON St' f ;: :;,.e,.�,`. r.%'. c� - :°/_) . CJ'yi- .. <br /> � �£ ^ / <br /> (�:-`� �� —! � . <br /> 1 ' . . �_� . CHAR':G, `�/_.'�i°^'_'_• <br /> 3) Di I�'�14AY Pi.i;?,I1T TO i3�: PA1D P,I:]•'URE BUII�llI\G <br /> PER�lI1' I5 ISS�JI;D FT. �i�.=;"': • D/�V (TYPE) ��_ �;�� _ <br /> �./ ����' <br /> TOiAL $ �.��0• <br /> 9) ST:1TU5 OF SE�YER CIi2RGES: __ <br /> EO\D� DISTRICT '"��°;i FpJTAGF '-'�'�`—'- <br /> 1�, S, E, 11'. <br /> 1..yXD5C:IPE �OTT�S SER'�R C0:INECTIC\T CfL4RG?�S: <br /> Pv � i . < n i /�cc'.r 3 33y'$7 ��TRU\K � <br /> /a � i,�IC--� J���4. E I�� CC�. J�'.� ` �..�J C/ J _-- <br /> LATERAL � -- <br /> TC;1'AL. CON�iEGTIOV CIi1RGE S —' <br /> 5���'iR PER\4IT F�E g �,�. � <br /> CATCIt IIASIN PER\IIT FEE $ ----'� ' <br /> TUTA:. SEWER PER\4IT FEES $ �-.'�'�. '�i'�`','! <br /> 5) \:C\iHLY SE1S'ER CHA:;GES: <br /> SEWER CptiSTRUCTION: <br /> TRU\K � G:. c.,',.:��,_ <br /> LATERAL $ �. j'� <br /> SE\VER SERVIC�: � � '�._�'� <br /> 'LOCATION OL' SID� SE1V�R OR T�E IN•TIiE A-IAIN CHART,���-- ,���jl ���i••;";: <br /> � � 5 •s`a . �<�'� e .� :�. p-L �-f�' ti_r , '��f�'�i�?��O/iJ — <br /> �.�.� • G'� :.-.��{� �.��'' ,� � y_� <br /> t/��' ,�� ,c..�i'?W� C�., �ee_ � l� � <br /> I\FC CO:�!PIL�D BY: '�l.�E�t�.� t�f!�r'�?�6-�-� � DATE <.�-•' �"s"--r'',�in <br /> 1� �,, <br /> r,r��IE�1�: � � <br /> ' DATE <br /> T �1� F IC�YISION <br /> ✓ ��/' / <br /> AYPPOV'AI.,: �il�z/.==�iy DATE �/ /��G� <br /> NG ��LLRING llL•;YAlt1'h1LNT <br /> ' This Ir�Ltl mu�l he pairj bcforc Uuildin� permit is issucd. V <br />