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BUILDING PERMIT INFORMATION <br />ADDRESS 501 ?- _? / <br />TYPE OF BUILDING ✓ 2 `DATE S -!e-7d- <br />1) BU_LDIiN G PERMIT FEE <br />(A) PLAN CHECK FEE <br />2) WATER SERVICE TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED <br />3 " <br />(A) TO BE DETERMINED BY PLBG. INSP. INCH <br />(B) EXIST. WATER SERVICE, APPL.. NO. <br />(C) LOCATION �p C'• Z �Jf///+� fllj%�CX �Gi <br />/0 Z117lG• CHART <br />3) DRIVEWAY PERMIT TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED o?S FT. /'1?11101eF f` D/W (TYPE) <br />TOTAL", <br />4) STATUS OF SEWER CHARGES: oc <br />BOND j7: DISTRICT 2 IP FOOTAGE <br />N, S, E, W. <br />$ 207. Oa <br />$ /0 3, sr� <br />$ <br />S yy� `a7 <br />SEWER CONNECTION CHARGES: <br />TRUNK /�� $ <br />LATERAL 1 4 ---s J <br />TOTAL CONNECTION C R E $ <br />SEWER PERMIT FEE $ 376 , O G <br />CATCH BASIN PERMIT FEE $ <br />TOTAL SEWER PERMIT FEES <br />5) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION: <br />SEWER SERVICE: <br />r <br />TRUNK <br />LATERAL <br />$ S0.0 O <br />$ �S <br />$ �,ar <br />$ <br />LOCATION OF SIDE SEWER OR TEE IN THE MAIN: CHART <br />TU65"F.D 7-6 4&, T e'_L f1✓l c'c / `l � .• G/ mil-- A;: �Z%. <br />INFO COMPILED BY: <br />REVIEW: <br />APPROVAL: <br />DATE ,S - <br />DATE_ ' %S <br />DATE ✓�'��7� <br />-'This total must be paid before building permit is issAuedh,1VCOr of' <br />B IELDING RET �PEP%/I) <br />Dater ,a B <br />y <br />