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- R��u .. .. . .. . ... . . � <br /> I <br />� <br /> I <br /> I <br />� BliILDING PERIvIIT INFORIvfATiON <br /> � k ' <br /> , ADDRESS ���% ��� :a ` � C�^ � C� �� <br /> TYPE OF BUILDING_ /,��tlSf� I 'l✓�Ii'r�C'�'�'��� DATE � -�l- �J <br /> 1) BUILDING PERMIT FEE � _ - <br /> (A) PLAN CHECK FEE � _ . <br /> ..) �VATER SERVICE TO BE PAID BEFORF. BUILDING <br /> PER\4IT IS ISSUED � i;� ';i j ,� ,- <br /> (A) TG 't;E DETER�L�1ED BY PLBG. INSP. �( INCH <br /> (BI EX'.Sl._ WATER SERVICE, APPL. NO. <br /> (C) LOCATION ;� � C'. Z�, i,s� -(,� ;� ��. <br /> CHART ,S- �"� <br /> 3) DRIVEti�'AY pER`IIT TO BE PAID BEFORE BUILL'ING <br /> PERMIT IS ISS�JED ,��/ FT. _�)l/f/iy'/i D/�1* (TYPE) $ %�'7, '� ('; <br /> l <br /> • � � 1 <br /> TOTAL��� $�% ' -- <br /> ?) STATUS OF SENER CHARGES: NC��.(`�7�/���1�� <br /> BOND DISTRICT FOOTAGE <br /> N, S, E, W, <br /> LANDSCAPE NOTES SEZ4rER CONNECTION CHARGES: <br /> TRUNK $ - - - - ___. <br /> LATERAL � <br /> TOTAL CONtiECTION CHARGE y — <br /> SEWER PERMIT FEE $ S�'); �1 �, <br /> CATCH BASIN PERMIT FEE :� �n ; • C- c"' <br /> TOTAL SEWER PERMIT FEES $ �O , C� C? <br /> 5) MONTHLY SE�VER CHARGES; , <br /> SEW'ER CONSTRUCTION: <br /> I TRUNK $ �--- <br /> LATERAL $ <br /> SE�YER SERVICE: � �Nj;:�l�°�� <br /> LOCATION OF SIDE SEWER OR� TEE IN THE MAIN: CHART ��+'�� ��'�/ - <,Z`/ � S <br /> `'. t� , S ; <br /> t_; (: ' �;r��= �'N �L , <br /> INr'O COMPILED BY: �,' ���/�-'^- DATE / -���( - 71 <br /> � � • ,�i � <br /> REVIEW: • ,�2�_ ' DA'I'E i .?C/75 <br /> TRAFFIC DIVISION <br /> / , . � , <br /> � / s- . <br /> APPROVAL: _ ` - !�� _.�j`.,.>�_�_�,�__ DATE ���1,5' <br /> Ei G ERING DEPA'RTMENT <br /> °This total must be paid. before building permit is issued. <br /> i <br /> I 1 <br /> 3 <br />