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- BliILDING PER\�IT INFORMATIOIv <br /> , <br /> , > <br /> a ADDRESS �;'! ��.j� /y° �� � �r�l .j� � �I'/ iI�/�f'/C l,i' <br /> TYPE OF B�TTLDING J(//'���'/� DATE :_S� /�- T.f <br /> lj BUILDII�*C= PERVIIT FEE � l`f"� �Q� <br /> 4 . (A) PLAN CH7�CK FEE $ � <br /> � <br /> 2� �TER SERVICE TO BE PAID BEFORE BUILDING � � '7,�, C� C� <br /> � :RMIT IS ISSUED <br /> (A) TO BE DETERMINED BY PLBG. INSP.�_ INCH <br /> (B) EXIST.��_ �'ATER SERVICE, APPL. NO.��_ <br /> (G) LOCATION _ai`.�i�d� dC1� N � � ��'��'��^y, <br /> L;�lit' CHART �-"I7I <br /> 3) DRIVEIVAY PER\fIT TO BE PAID BEFOR� BUILDING <br /> PERMIT IS ISS�JED �S FT. /JS,'r�,U,OGr D/11' (TYPE) S �a�s-O Dc%£' <br /> • TOTAL� � `�a�/. lc�� <br /> 4) STATUS OF SE�1'�R CI-IARGES: �7 �� � <br /> BOND .L DISTRICT JJ FOOTAGE � <br /> N, S, W. <br /> LANDSCAPE NOTES SE1tiER COi��1ECTIOriT CHARGES: �]' <br /> TRUNK $ ✓`/ f"//«4-' <br /> LATERAL $ <br /> TOTAL CONNECTION CHARGE $ � <br /> SE\t'�R PERMIT FEE $ .3i�, c'1 �) ' <br /> CATCH B_�SIN PERMIT FEE $ NO Jic%'.i1 SEu,a'.�'� <br /> TOTAL SEtiVER PERMIT FEES $ ����� C) <br /> 5) r,�ONTH1�1 SE\VER CHARGES: � <br /> SEWER CONSTRUCTION: v Q� �T <br /> TRUiVK $ �MO <br /> LATERAL $ O•�'-�f i �7 v <br /> �. SEW�R SERVICE: $ ���D <br /> LOCATION OF SIDE SEWER OR TEE IN THE ivLAIN: CHART %- � - ,� �—.S� <br /> n �'7- ` <br /> Scui.t�. C'ra.r,�� A� c, 1�/� ia /z sc�, o,� �v F'/� <br /> ���� � ��' �� <br /> IiVFO COM:PILED BY• ' � � DATE ,�-/I- 7J� <br /> � '� <br /> REVIEV,': �� -.i�z,Z DATE � �C 7 5� <br /> � TRAFFIG DI\�ISION <br /> �A�P. C� AL: . � DATE_=���� <br /> ,y�� � i GI .�E ING DEPARTDAENT <br /> •• • ��tal must be paid before building permit is issued. <br />