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_� i�'J �v_.:., ,-`)t..' <br /> IIUILDING PE12:�4IT INFOR,�IATION <br /> ADDRESS r0 �� SOC✓/ICD oYG�� <br /> T1PE i�F BUILDING S ,F�, DATE -f ?�G Zj <br /> 1) BUIi.DINC; YERMIT �'EE ^� �,3(,p. OD <br /> (A1 PLAN CHCCK FF.E $ �Qp',QQ <br /> 2) �ti'A'I'7:R SERVICE TO BE PAID IIEFORE BUILDING <br /> PER\1IT ?S ISSUEA $ �a7S•U O <br /> (A1 TO B� DETER,fLtiED BY Pilii;. INSP. LNCH <br /> � F�'�b�� C <br /> (B) EXIST. �VATEB SERVICE, APPL. NO��� <br /> (c� LocnTrorr .4EQ✓rCQ oFF /�lv/tiLTEa BLIr�, ��`f�'�,E'/�T <br /> CHART �,(J� �U <br /> 3) llRIVE1VAl' PERrfIT TO BE PAID B • F �E BUILDING 9U S�� <br /> PERAiIT IS ISS�JED p2/ I'T. ��LD/�t' (TYPE) �S � <br /> ' TOTAL= 5 331 •SO <br /> 4) STATUS OF SE\5'ER CHARGES: <br /> BOND� DISTRICT � 'r'OOTAGE <br /> N, S, E, W, <br /> L,AI�DSCAPE NUTES SE\t'ER CONNECTION CHARGES: <br /> TRUNK $ ��p,_ v d <br /> LATERAL �, .T�� a��S• J d <br /> TOTAL CONNECTION �RG ���,5� O U <br /> SE�1'ER PERMIT FEE �t:t'��/��5�.�0• C�Q <br /> CA7CH BASIN PERMIT FEE 5 �— <br /> TOTAL SER'ER PERMIT FEES S �U.C� Q <br /> 5� DdONTHLT SE11'ER CI��RGES: , <br /> SER'ER CONSTRUCTION: <br /> TRUNK w /. /S <br /> Lr1TERAL � o^i.u� � <br /> SEWER SERVICE: $ o�•J U <br /> LOCATICN OF SIDE SE\VER OR TEE W THE NfAL\: CHART '-.��-„� j_ +� <br /> S T�JQ 7o P�L S�lr � So. o�' M.N. A1 Cc��✓e t s�i��.[�E <br /> A/�(A'�0�' �n � '��=1'L( /7%l-- � L � „ <br /> INFO COMPILED BY: ��_` DATE �-�L- 7r <br /> %�'� �24 9 �� <br /> REVIEW: /;�. � '�t.�;� , DATF. <br /> TRAI'FI�I\'ISION <br /> APPRO�'AL• u- ,.� � �- ' ci�2�<c�iCtr — — �� D.ATE � �� <br /> Li /�NG ' ERING DEPAItTMENT <br /> '•''i'his total must be paid Ucfor.c buildinr pci•mit ir, issucd. <br />