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xDDRESS j <br />TYPE OF BUILDING <br />BUILDING PERMIT INFORMATION. <br />3� Sc� c��,lD �a ��� <br />�,J i. �� ,�, � <br />1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />2) WATER SERVICE TO BE PAID BEFORE BUII.DING <br />PERMIT IS ISSUED <br />• (A) TO BE DETER � INED BY PLBG. INSP. � INCH <br />(B) EXIST. WATER SERVICE, APPL. IQO. <br />(C) L CATION �Q �, (� Z�. /��%i%//%7 ��� �a � C�% D�� <br />��_ CHART �- 7/-A <br />3) DRIVEWAY PERMIT TO BE PAI BEFORE BUILDING <br />PERMIT iS 7SSiJEJ � FT. �L D/W (TYPE) <br />4) STATUS OF SEWER CHARGES: <br />BOND_� DTSTRICT JI.g <br />LA?IDSCAPE NOTES <br />�, zS- Z7¢-oa <br />� � v r <br />��� i i 7S , <br />TOTAL� <br />FOOTAGE _ <br />N, S, E, W. <br />SEWER CONNECTION CHARGES: <br />TRUNK <br />L�0A' i R L <br />TOTAL CONN� TI� � �Q��GE <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT <br />TOTALSEWER <br />!9� . oU:,- <br />$ 't�ei"6"? ' ' <br />� -- <br />, <br />$ -�–�`-�f <br />S �0�06 <br />E $ <br />FE ES $ . �� � � U. <br />J .' — <br />5) MONTHLY SEWER CHARGES: ;I' � <br />SEWER CONSTRUCT O b <br />' �s � <br />. � <br />SE ERVICE: Gf �� ' <br />I,OCATION OF SIDE� R W�R OR TEE IN THE MAIN: CHAF.T (� ��' <br />_. ..o n/ .�nnn. ...�i .i ,../� � .._ . <br />�'��- J7'��'��'�� <br />`�1F0 COMPILED BY: � <br />REVIEW; __ _ <br />1�PPROVAL: <br />�This total must be paid before building permit ia ieeued. <br />- - - -- .. ____.. •--e . . . _.. ..,._ - • --� -- <br />l��J <br />s a�s � <br />DATE //-(.-7j <br />DATE �.i' �� 7 _ <br />DATL'_II �C,-,' <br />._ -- --- ' ,J <br />