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BUILDING PERMIT iNf'ORMAT"OIQ <br /> ADDRESS `lIf� l/�JF`T%YI//�ST�L C //�CLE <br /> S � /�—_ DPTE ?- ;-7 <br /> TYPE OF BLiILDING �_ <br /> S %.S/. C�lJ <br /> 1) BUILDING PERMIT FEE � 7��_ <br /> (.A) PLAN CHECK FEE <br /> 2) PIATER SER`•'ICE TO BE PAID BEFORE BUILDING � (���. �� � <br /> YERMIT IS ISSUED r/ <br /> (A) TO BE DETER�SINED BY PLBG. II'lSP.�L�_ INCH <br /> (P.) EXTST. WATER SERVICE, APPL. NO. <br /> �c� LocnzioN /V, �, f i�afF;�'/` " l'o/%!lF_,r_•' <br /> cxART S--/a��� <br /> 3) DRIVr'.�9AY PERI�tIT TO BE PAID BEFORE B�UI`DTYPE) � � I a� S a�l�_ <br /> PERMST IS ISS�JED ` � FT. (�n[1[Cce-7E � ( <br /> l <br /> � �� (� <br /> TOTAL�° �- � <br /> 4) STATUS OF_SEWT•.R CHARGES: FOOTAG?.' <br /> BOND � llISTRICT � � N, S, E, W. . <br /> LANDSGAPE NOTES SEWER CONNECTION CHARGES: nS, v v <br /> 7'2�UNK � <br /> �-- <br /> LATERAL �.�--�� <br /> TOTAL CONNEC:'.CION CHARGE $ �S•C�Oa-' 3� '" <br /> , SEWER PERMIT 3�}:E � j�' V �� <br /> CATCH BASIN PT.:RD2IT FEE ' � <br /> TOTAL SEWF•� :"ERMIT FEF.S g-��� � � <br /> 5) MONTHLY SF S�RER CONSTRUCTION: <br /> TRUNK $ D o� O <br /> LATERAL � <br /> • g A • J C.� <br /> SEWER SERVICE: <br /> LOCATION OF SIDCE SEWER OR TF.E IN �E M��N'`��,�M�S����� /�� — <br /> ��l'L�X cr� CU a�� <br /> ,�I.���l'a � � ` ���'Pr aT ✓�'�- � n_�zE i�-��'-�;� <br /> INFO COMPIL`r:D BY: `��_.( "�� -� <br /> / . DATE i = i� ^ _ <br /> REVIEW: ��'- <br /> TRAFFIC D VIS;ON p <br /> D.ATE ��7�0 � �� <br /> APPROVAL• __.. <br /> ��' NGINEERING D�PARTMEN <br /> �-This total m :st be paid before building permit is issueu. <br />