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3' BUILDING PERMIT INFORMATION <br />ADDRESS_ �Q'�r�//� �52�a <br />TYPE OF BUILDING GOM/� . <br />1) BUILDING PERMIT FEE Joao- OU <br />(A) PLAN CHECK FEE <br />2) WATER SERVICE TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED <br />(A) TO BE DETERMINED BY PLBG. INSl'._ <br />(B) EXIST. WATER SERVICE, APPL <br />(C) LOCATION <br />CHART <br />3) DRIVEWAY PERMIT TO BE PAID BEFORE BUILDING <br />PERMIT PERMIT IS ISSUED FT. <br />NO. <br />INCH <br />TOTAL°° <br />4) STATUS OF SEWER CHARGES: <br />BOND DISTRICT FOOTAGE <br />N, S, E, 1V. <br />, <br />$ S-a <br />SEWER CONNECTION CIiARGES: <br />TRUNK $ <br />LATERAL S_ <br />TOTAL CONNECTION CHARGE $ <br />SEWER PERMIT FEE $_ <br />CATCH BASIN PERMIT FEE $_ <br />TOTAL SEWER PERMIT FEES $ <br />5) MONTIILY SEWER CHARGES: <br />SEWER CONSTRUCTION: <br />SEWER SERVICE: <br />TRUNK $, <br />LATERAL $, <br />LOCATION OF SIDE SEWER OR TEE IN THE MAIN: CHART <br />INFO COMPILED BY: <br />REVIEW: — TRAFFIC DIVISION <br />APPROVAL: <br />ENGINEERING DEPARTMENT <br />*This total must be paid before building permit is issued. <br />$ <br />DATES _. <br />DA T EL,_-__ <br />DATE <br />