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3UILDING P�RMIT INFORMATION <br />- '"� �— j j' ' <br />ADDRESS ' � ' <br />TYPE OF BUILDING � �� �,��%,:�:' llATE � � ' <br />1; F3UILDING PERMI'I' FEE <br />(A) PLAN CHECK FEE <br />2) �vATER SERVICE TO BE Pi ?D BEFORE BUILDING <br />PERMIT IS ISSUED <br />(A) TO BE DETERMINED BY PLBG, INSP. INCH <br />/I <br />(B) EXIST. WATER SERVICE, APPL. NO. <br />(C) LOCATION <br />$ ', - � ,��.- � � <br />$ ' -' � � <br />CHART <br />3) DRIVEI4'AY PERMIT TO BE PAID BEFORE BUILDING � � SG <br />PERMIT IS ISS:JED ri,�f FT. (`CiV/',�r'i(� D/\4 (TYPE) S �' <br />' TOTAL�� �,� �� � �, � � . <br />4) STATliS OF SEWER CHARGES: �VD/�t�H GN� <br />BOND DISTRICT _ FOOTAGE <br />N, S, �, W. <br />LANDSCAPE NOTES SE\4'ER CONNECTION CHARGES: <br />TRUNK � `--- <br />LATERAL <br />TOTAL CONNECTION CHARGE <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT F�E ' <br />: �. i <br />TOTAL SE\VER PERMIT FEES <br />5) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION: <br />g �/�G. C� � � <br />�$ ZD. O �� <br />$. �n0.�0 <br />TRUNK $ <br />LA.TERAL $ <br />� <br />SEWER SERVICE: $ METE�'E�F� <br />LOCATION OF uIDE SEWER OR TEE IN THE A4.�.IN: CHART '�����/-�*��-,� <br />,��/,�l i�i _ ;�v s�l�� 5� <br />INFO COMPILE� BY: `%�✓� //j.f ��� DATE .?-,y''�-7�G <br />REVIEW: �� � ��' �. �: �/�� � � DATE ; ��u �� � <br />APPROVA <br />'rThis total must be paid before building permit is issued. <br />DATE �G�=f% %9 <br />