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, � ` � . • . . <br /> _ . . , � � � • i <br /> BUILDING PERMIT INFORMATION <br /> ADDRESS �'O.}G� CUf-�Gi�(/i . <br /> TYPE OF BUILDING S. /` .0 - DATE �%- ���-�� <br /> 1) BUILDING PERMIT FEE 'ZU�¢E�• ��' $ 9� pcJ <br /> (A) PLAN CHECK FEE $ 9 j �_ • <br /> 2) WATER SERVICE TO BE PAID BEFORE BUILDING <br /> PERMIT IS LSSUED � ,`�j�} r, �,, <br /> (A) TO BE DETER�INED BY PLBG. INSP. ���_ INCH <br /> (B) EXIST, � 2 WATER SERVICE, APPL. NO. , �nP� _ <br /> (C) LOCATION fX/S%//1lG CU.�IT�'� �r,G'��ij ?� ��� ,�{" <br /> K/�L/_'�i '`v::�//b' L(Y'a'T[J/.{ !';o�—,:�.�..�c; � �rr" —�/� -• <br /> �'!'J,- �i/'.,.'r ,i CHART .� <br /> 3) DRIVE�VAY PERMIT TO BE PAID BEFORE BUILDING <br /> PERMIT IS ISSLJED FT. D/W (TYPE) /J �/��P/ — <br /> Fl��T��� ��� /i����a�f' ��5�! �� ��t J — <br /> 7 <br /> �"" 'IOZ'AL* $ ��-Q-, D C7 <br /> ' 4) STATUS OF SEWER CHARGES: '' � <br /> j l_',l/ f i=i l, r: <br /> IIOND DISTRICT FOOTAGE <br /> N, S, E, W, <br /> LANDSCAPE NOTES SEWER CONNECTION CHARGES: <br /> _ TRiJNK � -- - ' <br /> LATERAL � � <br /> TOTAL CONNECTION CHARGE $ <br /> SEWER PERMIT FEE $ ,�� 1, �; �,l i <br /> CATCH BASIN PERMIT FEE � $ <br /> TOTAL SEWER PERMIT FEES $ J�?, G' <:��/ <br /> 5) MONTHLY SE�VER CHARGES: <br /> SEW.ER CONSTRUCTION: � <br /> TRUNK $ ----- <br /> LATERAL � - <br /> SEWER SERVICE: � �t�� S-�� <br /> LOC�/A(TqION OF SIDE SEWER OR TEE IN THE MAIN; CHART C -:� �-c��`��-� <br /> �.<7//(?G-' �� ,ti /;,�y n/�� ( � � -„ _ ,��' /��j � �p p <br /> � � '� /'rc �l/- / /l.��i�T � .;iC � ''�+` l�7�ml {✓,/�'//L T/(�/�/ J <br /> �JJ� � ' ''' '_ . , <br /> ��16:�%!-� ..(�r'^ ��`� ��. iS�'L�. i • ,-� �� � � - - - . . <br /> _ /•� �. '�-'.� l� , r�./t,�(/j <br /> INFO COMPILED BY; �C'� /i�', �(', DATE �'- :i�Y- ? � " <br /> REVIEW; �`-� DATE <br /> RAF C DIVISION � <br /> APPROVAL: �ti DATE - Z.S f I <br /> ENG EERING DEPARTMENT <br /> �'This total must be paid before building permit is issucd. <br />