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l.IIV 1.II�,LIl 11;4 lII:U Lu;i; H1111 TY :.l.I('J 1.Cl.:i <br />DUILDINC 1'1:R!1T'I' T:II'URr1A'I Ttl!1 <br />IDD11.1,SIS MIN <br />L'UILDI!,G PER:= FEE 2UDCO `" <br />) <br />3 <br />(A) PLAIT CHECK FEE <br />•PLUMBING <br />MECHANICAL <br />?'IATER SEPVICE TO BE PAID BEFORE BUILDING <br />PEW11T IS ISSUED <br />(A) TO DE DL'MMI:IED BY PLBG. INSP. '�'j INCIt <br />(111 EXIST. TINTER SERVICE, APPL. NO. <br />$ //.j, QO <br />$ 7.TJ <br />t.'U <br />(C) APPROX. LOCATION (,•" C ��tl l 1,.00�7Rw 2_.r �=,r <br />CHART <br />D?IVEI- ,Y Pr..^v'iIT TO BE PAID L'EFORE P,UILDING <br />PER%,IT IS ISSUED FT. D/11 (TYPE) $ <br />STATUS OF SE?'IL•'R CIIAP.GES: TOTAL $ <br />J30N'D DISTRICT FOOTAr,L <br />N, S, L• j W. <br />SENER•CO;1aECTIOIN C11An(7,ES <br />YEAR TRUNK $ <br />.LATERAL $ <br />TOTAL Mi ECTION CHA110P$ <br />S£`':EP, PERISIT FFE S %�' L <br />CATC11 BASIN PERUMIT FEE <br />TOTAL SEWER PERISIT FEES$ Cio <br />) DONTBLY SEVIER CHARGES: <br />Srs1 ER <br />COZISTRUCTION: <br />y TRUNK <br />$ <br />-LATERAL <br />$ <br />SE913L <br />SERVICE <br />J <br />?PROX. LOCATION\' Or <br />SIDE SEWER 012 •TEE IN <br />TI1E MAIN: <br />. %.i�t��, �i/,N.CIF/f�E <br />,t7fyr�/�( �fi�•� <br />�1�' M Ql� h�� ICJ. <br />e�/���QK <br />CHART <br />WO CO`1PILEp BY: <br />bATP <br />lPROV,\r, : <br />