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•: ' �. .� • 1.� <br /> BUILDING PERIvfIT Ii�IFORMATION <br /> ADDRESS � j Q % � ��l/;�'�G(� ��� ��,�/ <br /> TYPE OF BUILDING S� DATF /"��' 7.� <br /> 1) BUILDII��G PE RMIT FEE � �,a7 7, �j �? <br /> (A) PLAN CHECK FEE $ /-� �"�) <br /> 2) WATER SERVICE TO BE PAID BEFORE BUILDING <br /> PERn4IT IS ISSUED � (�; G', O(� <br /> (A) TO BE DETERh'iINED BY PLBG. INSP. INCH <br /> /! <br /> (B) EXIST, `YATER SERVICE, APPL. NO, � <br /> (C) LOCATION t��_� ��,��- l,�`—��,_ o-,., �� , <br /> C HA R T `—'-2"�r . <br /> 3) DRI\TE�1'AY PERMIT T� BE PAID BEFORE BUILDING <br /> PERA4IT IS ISS�7ED �� FT. C�0l1lC��rF D/�V (TYPE) � (,o�. ` �; <br /> TOTAL� g��� J (I �— <br /> 4) STATUS .O�F SE\VER CHARGES: <br /> BOND !� DISTRICT 3D FOOTAGE <br /> N, S, E, W. <br /> LANDSCAPE NOTES SEWER CONN�CTION CHARGES: �/ <br /> TRUNK $ () O, 0 D <br /> �x1z r. g <br /> TOTAL CONNECTION CHARGE $ ��}�, <br /> SEWER PERMIT FEE $ �Q , Q ��' - <br /> CATCH BASIN PERMIT FEE $ <br /> TOTAL SEWER PERMIT FEES $ � �� Q Q <br /> 5) MONTHLY SEWER CHARGES: ' , <br /> SEWER CONSTRUCTION: J m` <br /> TRUNK $ / � �� <br /> � LATERAL $ <br /> SEWER SERVICE: � �'� <br /> LOCATION OF SIDE SEWER OR TEE IN THE MAIN: CHART !�— �Z�—S <br /> �t�—c�.Q • �/ �J <br /> __ !O �(�• �/! CC%� �ve-�n , -I:�,+-e.� (i')� Li�✓`�'i �� LGt-�...� <br /> 7 <br /> � �<•� '.t.�-�.,-r� /lil, f-�, C� .E;,.�-- ` <br /> ��._._--r-�--.,,� <br /> INFO COMPILED BY: � .� � � DATE // <br /> � , <br /> REVIEW: _ ���,-�� DATE /=.�--i'i <br /> TRA FIC DIVISION <br /> APPROVAL: f/��-Ll �<�,�1LZ�c-.-� DATE I��= 7� <br /> EN INEERING DEPARTMENT <br /> ��This total must be paid before building permit is issued. <br />