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AM <br />i <br />--IilJGIlli*.1:ltING AM) CONMUNI'I'Y ,:C1:V1.cl; <br />, <br />... <br />bulLDt.i1r_`t 1:rlfYi T11t^OR11A_PiOtt <br />— T_ <br />.ADDRESS I -70 4/��T "� TYPE <br />]) <br />BUILDING ''JiRMIT FEE • ���� <br />� . DD <br />° (A) PLAT) CIII:CI: I'Jili <br />$ j <br />2) <br />PLUMBING <br />$ �� <br />e ° <br />3) <br />MEMANICAL <br />$ 3/. D U <br />4) <br />VATER SERVICE. TO HE PAID BUILDING <br />PER;9IT IS ISSU117 <br />(A) TO BE DL••TER2•1I:•IED BY PLBG. INSP. 2 INCH <br />(R) EXIST._ WATER SP.RVICE, APPL. NO. <br />(C) APPROX. LOCATION !iI' /1/% p /,U //j <br />f0C1f-7j <p .SG/f31airCIJART Lj-Zc/6_ <br />5) <br />MIVE['IIAY PJL'iIT TO IIE PAID L'EFORE BUILDING <br />P£IMUT IS ISSUED FT. D/{•1 (TY L, <br />$ / 5 BD <br />/ <br />G) <br />STATUS OF SEWER CHARGES: TOTAL <br />$ <br />IIO''D DISTRICT FOOTAGE <br />N, S, E, V1. <br />NOTES <br />9) MN-71ILY SEWER CHARGES: <br />SEVER CONSTRUCTION: <br />SEWER SERVICE <br />SEWER. CONNIECTION CHARGES <br />YEAR TRUNK $ <br />LATERAL $ �! <br />TOTAL CONE I id CHAPl E$ <br />SJ:;EP PERMIT FM S L) <br />CATCH BASIN REMIT FEE $ <br />/O. 60 &-jlcrl <br />TOTAL SEWER PERMIT FEES$ <br />i TRUNK $ <br />-LATERAL $ <br />APPROX. LOCATION OP SIDE SEWER OR'TEE IN THE MAIN: <br />XUPO CONPILL•'D 71Y: <br />Ar r ROVAT, : <br />CHART <br />nATE <br />DATE , <br />