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ADDRESS � <br />3UILDING PERMIT INFORMATION <br />��� :�� �. s'� '— <br />TYPE OI' BUILDING � � � — <br />1) BUILDIYIG PERMI'i' FEE �Gt'90-�= <br />(Aj PLAN CHEGK FEE <br />DATE %� ��!' <br />. � <br />a /S�%� �� c� <br />� � 7_ c�0 <br />2) \VATER S�RVICE TO BE PAID BEFORE BUILDING ��,.� /�J� �j� <br />PERMIT IS ISSUED <br />3) <br />4) <br />(A) TO BE DETERMINED BY PLBG. INSP. y/� = INCH <br />// <br />(B) EXIST. WATER SER`'ICF, APPL. NC.____ <br />> (L � '� 4'� ,.� c4�"�, <br />// / ,��� H✓ • <br />(C) LOCATION � � � '�' —' <br />CHART /,a/ . �� <br />DRIVEWAY PERMIT TO BE PAID BEFO � BUILDING �¢ <br />PERMIT IS ISSQED '�� FT. �.3,Of7�D��ti' (TYPl'� � S /� — <br />. <br />������'�� a�-� � S�. <br />STATUS OF SE�S'ER CHARGE�S/• �! �,, � ��.��� <br />130ND� DISTRICT �,#' FOOTAGE S•7�'• ���*-. "��,�ase,r,/ <br />N, S, E, W. <br />�� � <br />LANDSCAPE NOTES I 5�11�ER COIQNECTION CHARGES: pC,, Q�, <br />TRUNK � �1 <br />3— �`6 - Z�i l- D c� <br />LATERAL �7r �I��rnS_ <br />TOTAL GOIINEGTION C'HA`RGE i s/ 9�• �� <br />SE�VER PERMIT FEE s_ 3a• �� <br />CATGH BASIN PER\4IT FEE $ <br />TOTAL SEINER PERMIT FEES S_ ��•�� <br />5) \10\THLI SE�VER CHARGES: <br />SF_tiVER CONSTRUCTION: TRTJNK 5 ��•�S <br />LATERAL $_"�� <br />S Z. ✓�� <br />S3E:aVER SER\'ICE: I / � <br />� .� Z�/ <br />LOCATION OF SIDE SEWER OR TEE I�� E MAIN: C�RZO ��+�� �� <br />-G"''�-fi--�.°°`°�.s.e �' r �+ . . . <br />sy � �d�,� a�" � <br />�J s <br />lA /� 4 % /T'Y[ � �/ � , di • � '1 �^�^�" l 7� <br />INFO GOI�iPIL.�D I3 <br />�+ � <br />I:EV1E�'d: "/�f( <br />APP RO���AL, <br />This total must be paid before building permit is issued. <br />DATE <br />DATE �II ����; ��- <br />' � <br />DP_TE 2 7 <br />11 <br />� •���"1. <br />