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4 <br />ADDRESS <br />BLT?LDING PERMIT INFORMATI0;1 <br />%!�' �c� r�:.Q�/(,i,[= ( i ��7 <br />TYPE OF BUILDING <br />1) BUILDING PERh4IT I'EE <br />(A) PLAN CHECK FEE <br />���, :.�o, ov <br />2) �YATER SERVICE TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED <br />L L_` <br />(A) TO IIE DETERMINED BY PLBG. INSP, � INCH <br />(B) EXIST. �VATER SERVICE, APPL, NO, <br />(C) LOCATION�f�/ i�,','�,�rJt� �1/'i�ir. /n' I%+'� <br />��� � I i l)� i s i� <br />CfI�.RT i�U-ois <br />3) DRIVEWAY YERMIT TO BE PAID BEFORE BUILDING <br />PER.UrIT IS ISS:JED /,S" FT %� `! '�' - <br />DATE %�- ����— <br />�— � 3(�. �-= <br />S_ (oP. o0 <br />5 n�7,�CJn <br />•/.: i,.�c./ D/�V (TYPE) //,�� % r�, `7 J_� <br />y,( �����/]1 �-[� <br />4) STATUS OF SEIVER CI-IARGES• �P�O'TA . 5��� ��— <br />BOND� <br />DISTRICT ��' FOOTAGE <br />N, S, E, �+; , <br />LA\�DSGAP� NOTES <br />�� —I k—OS�—(�c� <br />SE�VER CONATFCTION CI-IARGES: <br />TRUNI{ � �/, C� �1 <br />L TER(A �� G <br />TOTAL C�P�TIOi11�-���G�S �G�S . U �� <br />SEWER P�RMI^_' FE� s �7 �7 �J . <br />CATCH BASIN Y�RVtIT F�E � <br />TOTAL SEIVER PERMIT FEES $ �'J� (J �� - <br />5) I�40NTIiLY SEIVER CHARGES: =------_ <br />SEl1`�R COA'STIiUCTION; <br />TRLJNI{ � <br />S /�lJ i <br />LATERAL $ � �f <br />SL�VL:R SER\%ICE: <br />5 ��SO <br />LOC:ITION OF SIIJE SEWER OF TEE ?N THE MAIN; CHART L- .��'C -,��_ yC <br />i 'l'T '' r'�liL( /'U� Si�l/rf'' Tc� F� �T" %��C '%'f" '� <br />n,i � i �Q ' , �nv./,� �, � <br />INFO GOMPILED BY; <br />R�VIE�S': <br />APPI20VAL: <br />%: <br />TMENT�— <br />°'This total must be paid bcfr;e building permit is issued, <br />DATE /G' <br />DAT� �L' ,J 7� <br />DATE �G % 7r <br />