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BUILDING PERMIT INFORYIATION <br />P.'ilDRESS ��C} .� — J �/ �K S/, S �/� <br />TYPE OF BUILDING_ S- � � <br />1) EUILDII�''G PERMIT FEE <br />(A) PLAN CHECK FEE <br />2) <br />3) <br />WATER SERVICE TO BE PAID BEFORE BUILDING <br />YERMIT IS ISSUED 3 <br />(A) TO BE DETER �INED BY PLBG. II`'SP._ ¢( INCH <br />(B) EXIST. WAT�R SERVICE, APPL. NO. <br />(C) LOCATION �_ �'���M � l SO �"r � �• <br />� . L��c _ cxax�r C /'( �� — <br />DRIVEti'�'AY PER�4IT TO BE PAID BEFORE BUILDING <br />PERMIT IS I55�JED � FT• �JV�'/I�%L% D/\V (TYPE) <br />TOTAL'" <br />4) STATUS OF SE�VER CHARGES: �FOOTAGE <br />gpNp ;� DISTRICT �_. ;v S, E, W. <br />LAND� E IvTOTES <br />SEWER CONNECTION CHARGES: <br />TRUNK <br />LATERAL <br />TOTAL CONNEGTION CHARGE <br />SEVv'ER PERMIT FEE <br />GATCH BASTN PERMIT FEE <br />T�TAL SEWER PERMIT FEES <br />5) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION: <br />DATE -s� � 4 "��J <br />$ /�i /, v�C.� <br />$ L��'� C� <br />�a � � �� �'� <br />$ //.0 � d vE <br />�Si7.sU <br />$ <br />$.J�.0 v <br />__..--.--- <br />TRUNK � � �� <br />' LATERAL � — <br />SEWER SERVICE: $ a �; � <br />LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />CHART /�- 3 ot-4" - � <br />..,. ., _ . ,�� � ,-. . � �/ .. r� ,A/1 /J ,� r C /� r� 9� i )%•'Nf7iV _ <br />/.1`�:.�'�r� � '� <br />INFC COMPILED BY:_ <br />REVIEW; <br />APPROVAI <br />'� This total must be paid before building permit is issued. <br />DAT� J �//� l�J <br />DATE _ � �%y <br />DATE ���`� <br />