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� _ . -:` '_. <br /> I3UILDNG PERMiT INI'OR\4ATION - <br /> a �"D � r� �� �=� ����o <br /> ADilRESS < ,C� DATE y� �7 <br /> TYPE OF BUII.�DING ✓ ' � ` � <br /> $ ���� �J <br /> 1) BUILDING PE RMIT FEE %� C:, `= =' 7 ,/��• �?�� <br /> $ <br /> (A) PLAN CHECK FEE <br /> 2) WATER SERVIGE TO BE PAID BEFORE BUILDING � �U.0 O <br /> PERMIT IS ISSUED � <br /> (A) TO BE DETER�IN�D BY PLBG. INSP. <br /> INCH <br /> (B) EXLST. �vATER SLRVIGE, APPL. NO. <br /> (C) LOCATION �UN /dVT^ f ��� ��aP�TY <br /> na,��� CH.ART S—a ��� S/7��� <br /> I � <br /> 3) DRIVE�yAY PERMIT TO B FTAIDS �PORE �D�1tDITYPE) $ I , S O <br /> PERr4IT IS IS��JED �'� !.9—P--- <br /> TOTAL"° �a �`'G� 9'S`J <br /> 4) STATUS OF SE��'ER CI-1ARGES: <br /> BOND � DISTRICT .��_ FOOTAGE �. S, E, \V. <br /> ��' S/�/��/ . <br /> LAND�� $CAPE I�iOTES SE«'ER CONNECTION CHARGES: � r/ Q�. � d � <br /> TRUNK �' �r <br /> LATERAL � � J <br /> TOTAL COA`?�ECTION CHARGE $ ��� � U� <br /> SE�'�'ER PERMIT FEE 'L09Co�Q � ' v O / <br /> GATCH BASIIQ PERMIT FEE �S �— <br /> TOTAL• SE\5'ER PERMIT FEES $_ <br /> �O . C) Q � <br /> 5) MONTHLY SESEWER CONSTRUCTION: ' � <br /> TRUNK � �' �S <br /> $ �_ <br /> ' LATERAL <br /> . � a , s� , <br /> SEWER SERVIGE: • <br /> LOCATION OF SIDE SEWER OR,TEE IN THE MALti: C�RT � - �- a �-j <br /> Sj v�,B�D ro O L /`fS ��s'� aF /YI•/-� Ai SoN.�iS �- P.��v� ��u. <br /> S Tr� ��1.� /<f � 1� /I/ p G <br /> DATE �/G-'I� <br /> INFO GOMPILED BY: . � <br /> / . h DATE •� <br /> REVIEW: LJ ���'�^- <br /> TRAFFIC DIVISION <br /> �q��� DATE �b 7 <br /> APPROVAL: ��'�^- <br /> EN `EERIDIG DEPARTMENT �-- <br /> ��This total must be paid before building permit is issued. <br />