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- IIUILDING PERr�lIT INFORMATION <br />ADDRESS ���� 7S�C'I �O C.��C� �J L'� <br />TYPE OI' BUILDING -� I` r' �• <br />1) BUILDING PERMIT I'EE <br />(A) PLAN CHECK F�E <br />2) �I'ATER SERVICE TO IIE PAIn BLFORE BUILDING <br />PERMIT IS ISSUED <br />(A) TO BE DETER �INED BY PLIIG. INSP.� INCH <br />(B) EXIST. WATER SERVICE, APPL. NO._ <br />(C) LUCATION ��i Z. ,�'%/�/�O /`�f���� io �U �'f lG% <br />f?�L c�-u�RT �/- 7J-/� <br />3) DRIVE�VAY PERMIT TO BE PAI IIEFORE IIUILDIiJG <br />P�RMIT IS ISSJFD � rT.� %�l% D/\i' (TYP�� <br />� � 1 <br />i� % J'� ' <br />i �: � 7��� <br />�roT�L� <br />-1) STATUS OF SENER CHARGES: <br />BOND_� DISTRICT �1.R I'OOTAGE <br />N, S, E, 11`. <br />LANDSGAYL: N�J'1r:o <br />� ;'.% - �i� <br />S��VER CONNECTION CIIARGES; <br />TRUNI{ <br />LAT� AL <br />I� i� <br />TOTAL CONNECTION T3F.RGE <br />S�\NER PEI2MIT F�E <br />CATCH BASIN YER\4IT I'�E <br />TOTAL SEWER PERMIT FEES <br />5) \fONTI3LT SE\VER CF-iARGES: <br />S��V�R CONSTRUCTION: <br />TRUNI{ <br />LATERAL <br />SE\VEI2 SER\'ICE: <br />LOCATION Ol� SIDE SE1V�R OR TEE IN TH� MA1N: CHART <br />`,%//.ZiiF/7 %� CL�/.Y; � Y/L. . /'��%� (y cIJ� � ��IO,t.'��Y� (� <br />II�iFO COMPIL�D BY <br />R�VIE\Y: <br />APPROVAL: <br />DATEiG - Jl-7J <br />� �` ,- � ��c� <br />$ �1'�„ lt7_ <br />i �-�(_�C� , C �1 �'� <br />s 1��. S-D <br />$ Q��(?�� S-% <br />��/== � -, <br />� � �5.�>-„' <br />� 1.�5 <br />5 -__ <br />$ .1�5 �l <br />-:5'-A�- 7` <br />'This total must bc paid bcforc building permit is issucd. <br />DATE //-i�_ <br />DA T E �% � 7S <br />DA 1' I: �� ��— %�' <br />