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� •. .. . <br />= ADDRESS �`� �' <br />_ _.___. ___.._ _, _J _. , ..._ . ._._ <br />. . � . _ . � . ._ � . .�, . . � I <br />. ..„ � . <br />i ' ' <br />BUILDING PERMIT INFORMATION <br />. <br />�� _ ��� �� c7 �li�� C,� ' , . <br />TYPE OF BUILDING <br />1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />���, DATE ��'- I �,) � � <br />C '- <br />35, ����� s 14�, — <br />$ �i�' `'O I <br />' s <br />2) WATER SERVICE TO BE PAID BEFORE BUILDING <br />' PERMIT IS ISSUED <br />3) <br />4) <br />(A) TO BE DETERMTiVED BY PLBG. INSP. �� INCH <br />// i <br />� "•, , �- • <-i , t <br />(B) EXIST. WATER SERVICE, APPL. NO. <br />(C)LOCATION �.'�'j" G• (�. T�, i'/,•,2iN �<�:,�;,,, , <br />E�;r 0.� ri?!:i �l�! CHART �-=�-/7 <br />DRIVEWAY PERMIT TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED '.� ; FT. ;tSrHf+�i D/W (TYPE) $(��� S U`i�iJ:Z '� <br />T�OT L�' $ �t 3�' �`� � <br />STATUS OF SEWER CHARGES; ��` y��J��� <br />BOND .1.�F- DISTRICT �� c�L FOOTAGE <br />N, S, E, W. � <br />LANDSCAPE NOT <br />3-Z�- Z�S-or� <br />L� S• � `i <br />SEWER CONNECTION CHARGES: / , ,, <br />TRUNK $ �'�� � - -�'- ' I <br />LAT�RAI, � ' , ��,_�� r� _ � <br />,�r. -:;�-��.� .�,._-_�_ <br />TOTAL COJ�INECTION�CH�RGE $ ' � • <br />ISEWER PERMIT FE'E $ SC� '�" r� i <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />5) MONTHLY SEWER CHARGES: <br />SEW.ER CONSTi2UCTION: <br />TRUNK <br />LATERAL <br />SEWER SERVICF.: <br />$ ' —_'_. <br />�n ?ri1 , C.�i [�1 i <br />.p i ' <br />� y l,/S <br />$ �— <br />� .��.�+ �� <br />LOCATION OF SIDE SEWER OR TEE IN THE MAIN: CHART� - I-�?_P -'� . � <br />51�rrt �'T 7C � r�S'T � L i1 %/�,Z� I ���' ni� l'7f! �)i- i`�I �-( /1 T" :� �/r4 >T. S. W, I <br />,r n/ ,. . . . <br />'A 1��'i��'�C ''� � v )rj k r ) ii I I",/ �--' . . � <br />INFO COMPILED IlY: ��- �`�i /�,.� % � DATE i-!/' % 1 <br />/,/ /� ! _ - � �• . <br />REVIEN: <br />APPROVAL: <br />DATE � 7—� <br />4V ISION � <br />� � DATE � ,J <br />'�PARTMLNT <br />�Thia total must be paid before Uuilding permit is iasued. <br />