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� h <br />//Q nulLlli,vU rnn.vaii twryni�i(n�.t��,v <br />ADDRESS 174 <br />TYPE OF BUILDING <br />so5•s-0 <br />I) BUILDI:•—. PERMIT FEE <br />(A) PLAN CHECK FEE <br />2) WATER SERVICE TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED II <br />(A) TO BE DETERMINED BY PLBG. INSP. 3l4-- INCH <br />�t <br />(B) EXIST. WATER SERVICE, APPL. NO. <br />(C) LOCATION S709Jef Ta /Weo e A/ ' 5a <br />Qe, Ndely 1.eul Ce"2iV"'e CHART <br />3) DRIVEWAY PERMIT ;_ O BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED �_ FT. 1qJW'b1Ae r D'1C (TYPE) <br />TCTAL-' <br />41 STATES OF SEV. ER CHARGES: <br />BOND ?L DISTRICT 1'9 FOOTAGE <br />IN, S, E, W. <br />LANDSCAPE NOTES SEWER CONNECTION CHARGES: <br />TRUNK <br />44- - D a <br />LATERAL <br />TOTAL CONNECTION CHARGE <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />5) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION: <br />TRUNK <br />LATERAL <br />DATE /C'7)- <br />s fZs <br />S <br />S �— <br />SEWER SERVICE: $ a SO <br />LOCATION OF SIDE SEWER OR TEE L1 THE MAIN: CHART-�sa4-5� <br />INFO COMPILED BY: <br />REVIEW: <br />APPROVAL: <br />`This total must be paid before building permit is issued. <br />DATE <br />