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BUII.DING PER\.IT INFOR\fATi01J <br />. �DDRESS �� / �.�5� SOU%'l�Gl />' �J�' <br />TYPE OF BUILDING S `• � <br />1) SUILDING PERMIT FEE <br />(A) PLAN GHECK FEE <br />2) WATER SERVICE TO BE PAID BEFORE BL ILDIATG <br />PERMIT IS ISSUED <br />(A) TO BE DETERMII�IED IIY PLIIG. INSP. � INCH <br />(B) EXIST. �tiATEtt SERVICE, APPL. NU. <br />DATE �-S ��� (.� <br />g r S'4 c� v <br />$ "i�.�0 <br />%dS�C� � <br />� ��� <br />(C) LOCATIOIQ ,'U�� �'� �. MAr,1( V/Y ND,P.T// S�D� v/� <br />,�?k� Q%F. J'- � Sn o/i iltl �-Lf-��� �,ntfC?iAR'l' G.� -%�v/4 <br />3) DRIVEWAY PERhiIT TO BE PAID EEFORE E�tiILI'iiNG / <br />PERA4IT IS ISSQED �_ FT. /4s`i%/1LT D/\1' �TYPE) y/�S$ %S� /�✓E <br />• T�� L=� <br />l c�U.>. ',�� <br />4) STATUS OF SE�1'ER CHARGES: <br />IIOATD � DISTRICT `a�' FOOTAGE <br />Di, S, E, \1'. <br />LANDSGAPE NOTES <br />� . 'I- �c. - 'L G� S o v <br />SEtVER CON\�CTION CHARGES� <br />TRUNI{ $ /�U• 0 d <br />LP.TERA�` �Z9�S/ S c2 �S � U C) <br />TGTAL GOI�i:ECTION CHARGE $�loS. U �r <br />SF.11'ER PERMIT FEE � c3�•CJd <br />CATGI: BASIK PER\4IT FEE <br />TOTAL SE\t'ER PERMIT FEES <br />5) MONTHLl' SE�VER CHARGES: <br />SEWER CONSTRUCTION: <br />TRUNK <br />LATERAL <br />SEWER SERVICF:: <br />5 <br />g ,�o, O O <br />$ ,/J <br />� a.af <br />� ��J� <br />LOCATION OF SIDE SEWER OR TEE IN THE MAIn: CHART lj�- .3'a�_ <br />... , , ., .. - - � ' — ,. - - . <br />oF �� fr2TY , f�/�/�.� <br />INFO CODiPILED BY: <br />REVIEW: ��1�' � � <br />APPROVAL: <br />� � �7� P�L% <br />•?This tct.;,l must be paid befure building permit is issued. <br />DATi: J /G'- <br />DATE �J �9 %� <br />DATE_ 3 �!a %S— <br />