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.�. __ _ �. . .,..I .Yv I�. <br /> 5'.G. �.�'f'7 CL� <br /> ' BUILTIING PERMIT INFORMATION <br /> ADDRESS � � Z �J ��"�J1/ � A V I C--" � � V-S� uLFi(//-J:E'D � — <br /> TYPE OF BUILDING � F— ���' llATE I��' ' `>- � �� <br /> t�, <br /> 1) BUILDING P�'RMIT FEE � � �U' ��� <br /> (A) PLAN CHECK FEE $ �Td� C�v <br /> 2) P7ATEF SERVICE TO BI: PAID BEFORE BUILDING � �� � �� �� <br /> PERMIT IS ISSUED <br /> (A) TO BE DETERM?i1ED BY PLBG. INSP. `S/'- INCH <br /> (B) EXIST. WATER SERVICE, APPL. NO. <br /> (C) LOCATION � l,J OF I j� E� P�ZUV'��T� C�OC/YE'� <br /> CHART ]-�O� '� <br /> 3) DRIVE�VAY PERMIT TO BE PAID BEFOR� BUILDING �a ,.SO <br /> PERMIT IS ISS:JED �_ FT. CoN�/��� D/\V (TYPE) $ <br /> . TOTAL� $ �'� � � ' � �� <br /> 4) STATUS OF SEWER CHARGES: . <br /> BOND� DISTRICT .�f7 FOOTAGE <br /> — N, S, E, W. <br /> LANDSCAPE NOTES <br /> SEWER CONNECTION CHARGES: �IS���� O O <br /> TRUNK � � -� <br /> LATERAL $���_ <br /> TOTAL CONNECTION CEL4RGE $ I��� <br /> SEWER PERMIT FEE $ -} � ' � � <br /> CATCH BASIN PERMIT FEE $ �- <br /> TOTAL SEWER PERMIT FEES $_. S d' L � <br /> 5) r40NTHLY SEWER CHARGES; • <br /> SEWER CONSTRUCTION: TRUNK $_ ' ' � � <br /> ' LATERAL $ <br /> SEWER SERVICE: � `� ` S � <br /> LOCATION OF SIDE SEWER OR TEE IN THE MAIN: CHART� - d -o�cS�-S <br /> � AT P�NAUcEc� �- LAi�CrN r����o� /0 ' p��� :,�r <br /> �. w b� MoH� <br /> � 1�iZT L�nt . _ <br /> INFO COMPILED BY: �%�C7 �7�1 - �� DATE ( � - `�- 7`-� <br /> /> <br /> REVIEW: /I� ���?� � DATE /%���`�" <br /> ` TRAFFIC DIVISION <br /> APYROVALC`_����� _ DATE�,��'7� <br /> ENGINE � RING DEPARTMENT <br /> -"�This total must be paid before building permit is issued. <br />