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. ; � <br /> \ . , ' A • _ � . � • � • � � <br /> BUILDING PERMIT INFORMATION <br /> � . ) <br /> ADDRESS �` � ; . . , � ' � F. :� , + . <br /> _ DATE' �. " ' r-- <br /> TYPE OF BUILDING ! r / ` � � ' <br /> 1) BUILDING PERMIT FEE 2 �z' S�� ``� � �� �'` 6� <br /> (A) PLAN CHECK FEE � �' � � <br /> 2) WATER SFRVICE TO BE PAID BEFORE BiJILDING � - � �,-i �., , � <br /> PERMIT .S ISSUED <br /> (A) TO BE DETER�INED BY PLBG. INSP,J,%/� INGH <br /> (S) EXIST. WATER SERVICE, APPL. NO. <br /> (C) LOCATION t�et�1��Y'll/���:V - ��� %�'%i�' - � Si' �' �. <br /> � - <br /> i�'!` (�•� i'!P 1��- ��) _ � �_ ' CHART (U - ��; `% <br /> 3j DRIVEWAI' PERMIT TO BE PA:D BEFORE BUILDING � <br /> PERMIT IS ISSLIED ��_ FT. I',�S�lii'n .��; � D/W (TYPE) $ '�' <br /> TOTAL�° $ 3 ����' S-�� <br /> 4) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE <br /> N, S, E, W. <br /> LANDSCAPE NOTES SEWER CONNECTION CHARGc'.S: ____ <br /> TRUNK $ <br /> LATERAL $ <br /> TOTAL CONNECTION CHARGE $ !— <br /> SEWER PERMIT FEE $ � <br /> CATCH BASIN PERMIT F�E $ � <br /> TOTAL S�WER PERMIT FEE� $_. <br /> 5) MONTHLY SE�VER CHARGES: • <br /> SEW.ER CONSTRiTCPION: _ <br /> • TRUNK $ <br /> , <br /> ,'- L��i' ,L � � �1 � ) ' � ' ; � '/�_� LATERAL $ � � <br /> , ;- � ,-y c-��,� , �j,l„��� <br /> SEWER SERVICE: � ( <br /> LOCATION OI' SIDE SEWER OR TEE IN THE MAIN: CHART <br /> ENI'O COMPILED BY: � ,C F � ���' �� � DATE i��' -.�; ;' I <br /> REVIEW: DATE �,. <br /> TRAI'FIC DIV ISION <br /> APPROVAL: �--����+� DATE��"/ -7S� <br /> ENGINE�RING llEPARTMENT <br /> �This total must lie paid betore Uuiiding permit ie iesued. <br />