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BUILDING PERMIT INFORMATION <br /> ' ADDRESS � � a J U '�/�' <br /> TYPE OF BUILDING Si /C �� DA:•'E .� :a �-7� <br /> 1) BUILDING PERMIT FEE � �n `f^" �� �'� <br /> (A) PLAN CHECK FEE � ��' �� �'1 <br /> 2) �NATER SERVICE TO BE PAID BEFORE BUILDING � S/f� �µ'y�� <br /> PERMIT IS ISSUED <br /> (A) TO BE DETERMINED BY PLBG. INSP. INCH <br /> (B) EXIST. � Z WATER SERVICE, APPL. NO. `JC��7 <br /> (C) LOCATION //1LT0 �LU�S % y�L <br /> CHART N - Co O <br /> 3} DRIVEVVAY PERMIT TO BE PAID BEFORE BUILDING � ���- <br /> PERMIT IS ISS"JED FT. D/\4r (TYPE) $ N <br /> - TOTAL�- $ �G°� C� <_� <br /> 4) STATUS OF SEWER CHARGES: /YO.QI`N�'/�� <br /> BOND DISTRICT FOOTAGE <br /> N, S, E, W. <br /> LANDSCAPE NOTES SEWER CONNECTION CHARGES: <br /> TRUNK �a <br /> LATERAL $ �—�— <br /> TOTAL CONNECTION CHARGE � -- <br /> SEWER PERMIT FEE $ -�O.C1 U <br /> GATCH BASIN PERMIT FEE ' $ <br /> TOTAL SEWER PERMIT FEES $ �S�G , (� � <br /> 5) MONTHLY SEWER CHARGES: • <br /> SEWER CONSTRUCTION: <br /> TRUNK $ -' . <br /> ' LATERAL $ <br /> SEWER SERVICE: $ '� ' S U <br /> LOCATION OF SIDE S/�EWER OR TEE IN THE MAIN/:� CHART �- � (J -aZ�� � <br /> C� 611i /�iti0/'��'�' 02 � ��� h- �J � LtJ Gr �.!, �iPo f.Pi Y <br /> Q,.c? ,�1 �0 3 'D c '' <br /> INFO COMPILED BY: , DATE Z- 2�7-7� <br /> REVIEW.�,��ifY� /� eai -i � DATE '2�'� S � <br /> TRAFFIG DIVISION <br /> /�/�� � a � <br /> APPROVAL:j`-'` � ' L,�� i ` " ""�°f� '" DATE �� = /— <br /> � l E GINEERING DEPARTMENT ' <br /> �This total inust be paid before building permit is issued. <br />