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.� 13UII,DlI1r I'I:IZ?11'1' I111_Olirin_Pl �tl <br />TYPE <br />ADDRESS .fir `� MT� _ <br />1) BUILDING PERMIT FEE <br />(A) rI,A1I Cncr <br />2) PLUMBING <br />3) MECHANICAL <br />d) HATER SERVICE TO BE PAID BEFORE BUILDING <br />PETWIT IS ISSUED <br />(A) TO BE DETER]7IN]ED BY PLIIG. INSP.. /� INCIi + <br />(RI EXIST.WATER SERVICE, APPL. NO. <br />(C) APPROX. <br />LOCATION G A 2 5, `/�S✓`' - <br />QZ7- CI]ART <br />t <br />5) DRIVE'.•]AY PERl%lIT TO BE PAID BEFORri WILDING <br />PEWMIT IS ISSUED 25 FT. s'eµ . D/P) (TYPE) $ �2 <br />6) STATUS Ol' SE?IL•R CHARGES: TOTAL $— <br />BOND DISTRICT FOOTAGE <br />No S, Et VI. <br />NOTES <br />7) DO-MILY SEVIER CHARGES: <br />SEl4ER CONSTRUCTION: <br />i <br />SEVIER <br />CO;•]NECTION C]IAHrES <br />YEAR <br />__27_ TRUNK <br />$ <br />.LATERAL <br />$ <br />TOTAL <br />CONNECTION CHARGE$ <br />_ f <br />SE'IER <br />PERriI'1' FEE <br />$ <br />CATCH <br />BASIN PEP.MT FEE <br />$ <br />TOTAL <br />SEWER PERMIT FEES$ <br />TRUNK <br />$ <br />•LATERAL <br />$ I <br />SEWER SERVICE $.Z SU I <br />APPROX. LOCATION Or SIDE SE11M OR -TEE IN THE MAIN: <br />c, n� t ri.isr mortis < A-r 7, 20 ` 5aU'7/1 o f 7A2 /t/7� aia` N <br />r1 ryJ GoF�<D ,g.1%? ��Y/2 3rf S SL DF TA�e /4N CHART <br />XMF 0 COMPILED BY : `: ` c— ` bATr <br />APPROVAL: <br />DA'1'F, . <br />