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/} / 9/� 7 <br /> � '�^/ `�`f IIUILDI\G PER\-IIT L"FOF.\Ir\TION fl/7/�� •� <br /> . ,� n� ,��,���� ,gL t�D T <br /> , <br /> '. DDRESS ' <br /> ':YPE OF BUILDING <br /> S. �"• �i DATE �''�� <br /> $ � 3�. C90 <br /> 1) Sli ILDIV'G PE RMIT FEE � �Q q `v <br /> (A) PLAN CHECI{ FEE . <br /> 2) \VAT�k SERVICE I'O IIE PAID BEI'ORE BUILDING � ��,�t��J �) _ <br /> PERAIIT IS ISSUED ,� <br /> (A) TO BE DETER.�INED BY PLBG. INSP. j ` INCH <br /> (B) EXIST. �VATER SERVICE, APPL. NO. � <br /> (C) � OCATION „ C. �. d�N �`f�1'T S�,D6' DF <br /> �1,a�Av���� � c��RT S'-� a7 <br /> 5) DRIVE�VAY PER�IIT TO BE PAID BEI'ORE EDI`D(�1�GPE) � / � 5-�-�-�jf� <br /> PER\iIT IS 7S.ri�JED ,�� FT. �/l��'��/� <br /> TO'fAL � �.5+� `' <br /> . _----- <br /> i) ST9 CL'S OF SE\VER CI-IARGES: <br /> BOND�_ DISTRICT �D rOOTAGE <br /> N, S, E, �V. � <br /> 3 - �� I I �-I - D C� �I -30-�\ <br /> L�.\DSCaPE NOTES SEA'ER CON\ECTION C�LaRGES: f'�/• <br /> — TRU�1K �_ ( �' � � � <br /> Lr1TERAL S j <br /> TOTAL CONNECTION CHARGE S ��� ' � � <br /> SEN'ER PERbIIT FEE ��- 7�3("(►� $ �� ' �'� � / <br /> �--� <br /> CATCH BASIlV PERVIIT FEE S / <br /> TOTAL SE�VER PERMIT FEES $_ ��' U � <br /> � . <br /> 5) MONTHLY SE�VER CHARGES: l / / / <br /> SE�VER CONSTRUCTION: C� <br /> TRUNK � <br /> ' LATERAL � <br /> $ c�� � U � . <br /> SE�tiER SERVICE: <br /> LOCATION OF SIDE SE�VER OR TEE IN THE MAIN; C�RT <br /> C�� - �'�2 fi-_S". <br /> i u ,��� �o P � �dG,�<<� �9 ' So_ a�' i��r �r F���� <br /> �F �iFi Si' ` i . � ' _ /C1 f F� //T f'G <br /> � J� • DATE <br /> � INFO COD�SPILED BY: � < ' / ' � <br /> ' [�✓�j�_ DATE Z Z — <br /> REVIEW: �/�/ I ` TRAFFIC DIVISION <br /> � J <br /> ��� —_ DATE <br /> pppROVAL: <br /> ENi�INEERING DTPARTMENT <br /> -�This total must be paid before building permit is issued. <br />