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�� � ZBUILDZNG PF,�2MIT INFORN,ATIO:•? <br />I�I %� -i:'i�i ..� � . T I <br />1�r,vxEss _.-r.����-,_,v,-r,- �dC�j Z <br />1 Y?E OF BUILDING <br />1} :3UILDING PERMiT FEE � G�'9gL' � <br />(A) PLAN CHECK FEE <br />ef <br />f1/G�G�ND �,Z, <br />Z) �VATER SERVICE T(� IIE PAID I3�FORE BUILDIATG <br />P�RMIT IS ISSUED <br />(A) TO BE D�TERMINED BY PLIIG. INSP. �� INCH <br />(B) �XIST. '- �VATER SERVICE, APPL. NO. — <br />(C? LOCATIONL ¢ � C'. /. �oc�� ra� /Z � it/ _ <br />T �p <br />� %.6-.w �.Gr �'„�c . R"?A,i:"`1yr� RT�`- 3� <br />3) DRIVENAY PEkMIT TO BE PAiD BE�UILDING <br />PERMIT IS ISS�7ED � FT. , ll/�1' (TYP�) <br />TOTAL <br />4) STATIIS OF SE\VER CHARGES; <br />L�OND�_ DISTRICT Z -�j FOOTAGE <br />N� S. E� �\'. <br />trr�:�966?ri�'£ NOTES <br />yV�► i� 2/5��,.�Etz. � � <br />EAsEMF.uT�S� REQ7 G <br />?�- /c� _ !✓' j �- CUC� <br />SE\V�R CONNLCTION CHARGES: <br />TRiJNK <br />LATERAL, <br />TOTAL CONI`TECTIOIV �ItAQ/�E <br />SE�VER PERMIT FE� <br />CATCH BASIN P�FMIT FEE <br />' TOTAL SE�4�ER PERA4IT FEES <br />5) A40\TTHLY SE�\'ER CHARGES: <br />SE lVER CONSTRUCTION: <br />Q� � ��;,,F l TRUNF{ <br />/ � ^ ��,� U.� e LATERAL <br />� �'� � SE�VER SEItVICE: <br />� �,�� �ae <br />� LC)CATION UF SIDE SE\VER OR TEE IN TH� MAIAT: CI-IART <br />,� �' S. S. �.$ � !.0 • o� %! h! `� �DSSuTr� '' t✓ <br />� �' -L�-,z�' ,. ,. .. _ <br />.. .. <br />� INI'O CO\7PILED Bl; � �(.G�(�G��o-,.� /�/•(�S�`�S� '; <br />:E\'IE\1': <br />APP!tOVAL: <br />'� This total must be paid before buildir.g permit is issued. <br />DATE �—�-7�j <br />$ 9Cv- ``?`� <br />$ c�4. �'- <br />c <br />� iz.�- <br />� 3rG S `� <br />\v. C ' , o <br />�i��.? � yJ P rC. %% <br />c�.cy'qzs <br />1 <br />� �� S. 00 <br />s 312. 5� <br />� 5�7, �O <br />� � o0 <br />S <br />� ?j�, 00 <br />� I• ls <br />�� .2S <br />� Z. �O <br />_ %-Zd= S <br />;..` � GG,.......4 ' <br />7 '�.. <br />DATE /L� S-7S <br />DATE�� IL % I <br />llATE ��*/ �v�S <br />