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! B I DIN � P:Ri�iIT INFORMP Ti0\ <br /> �7 / p <br /> ADDRESS � / ,� � G`,��L�JC�/t� �I_/�G <br /> 7YPE OF BUILDING � ���/�� C` '� D`�Ti'i�` �''� 1 <br /> � ✓ <br /> 1) BUiLDI:�1G PERMIT FE� .'4���� <br /> 3zS�1. �'� a 13cn� °" <br /> (A) PLAN CHECK r'EE $ ���•� <br /> 2) �tiATER SERVICr TO SE PAIU BEFORE BUILDING S 2 -75� EiC� <br /> PERMIT IS ISSUED -- — <br /> �A) TO IIE D�T�RMINED BY PLBG. INSP. � �� INCI-I <br /> Il <br /> (B) EX?ST. WATER SERVICIs, APPL. NO. <br /> (C) LOCATION �o � �� • 1- ��'j/>'i;�� �C'�'yYJ�', � . <br /> ') ��n ��i � � 1��•'��/(l �"�i..��IL'�i��=_ C��RT � / ,i � <br /> �y�✓J(1'i Q . /�v7�f G � r.- <br /> 3) DRIVEWAY PERh4IT TO BE PAID BEFORE I3UILDING -7 c�—£') <br /> P�RMIT IS ISFi�7ED r'T. D/W (TYPE) S <br /> �i �lB�o ��'� 5v <br /> To �(o- �� <br /> 4) STATUS OF SE�VER CI-IARGES: -��- I <br /> t30ND_�� ?�ISTRIGT ,r�__ r OOTAGE <br /> N,(S,r E, 1N. <br /> LANDSCAPE NOTES SEWER CONNECTION GI-iARGES: �r � 'i <br /> �+ TRUNK �5 �� � �� � <br /> � � 7 �y <br /> J'f�pl��rL C�/tTC� �f%� ��� LATERAL � I d�i'• ���� � <br /> a � ;'�0 C�D���CT� tiic-,�, ;:'� �� , C� � <br /> �-)��( VnClJ�� � TOiAL CONNECTION CHARGE S •i L/'- U <br /> "^ ,� <br /> �'�. �,��� � <br /> I%,';;�%l'i_ �`?'/ �`i�,� i�i : Tl�` ;�c�% . SE\NLR PERMIT FEE $ ���C, (_) [�7 � � <br /> CATCH BASIN PF:Rh4IT FEE 7� $ <br /> TOTAL SE\NER PERMIT FEE> �_ <br /> 5) �lONTIILY S��VER CHfiItGES: ! <br /> SI�Ati"�P, CONSTRUCTION: •"� i <br /> TRi;NK � ' `a ' .� <br /> LATEF.AL ��f'"� ' �•Z� � <br /> SEVVER SLRVIGE: `.�"P�I��%!%r.::"i� <br /> -� ' <br /> LOGATICN OP' SIDE SE�4'�R OR TEE IN THE MAIN: GHART G-� ' `i -�' d'- S <br /> ti ����� ,�f ' n1� � �� � �U�/ L� - r��.f� �/{' F.L[�i1i - CiG <br /> � l//d�GL7 / C ..SC�.��i�i ��/ N'��`. <br /> � ;;�s M.?,�rS�?� -- y'. ..�,� �� /,aP= n ' _ /'��. � <br /> -,: « - . <br /> - �- <br /> INFO COMPILED BY: '�-t� `/% �(�� , DATE iL/ - i � <br /> ��� � , ) �_ �r -� -., <br /> R�VIE\V; �"; DATE <br /> TRAI'P'IG DIVISION � I <br /> APPKO\'AL: �-.-G�, _ DATE �� 8 � — <br /> �NGINEERING D�PARTNI�NT � <br /> I <br /> ��'Shis tot�l must he paid before buildin� permit is issuc-',. <br />