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l <br /> MAS; ifelyNgLY / q /vft �. <br /> UILDING PERMIT INFORMATION` <br /> ADDRESS ��u1 .3 /� �` `l �� nJ• T S,f` / . ' <br /> TYPE OF BUILDING � FX DATE ,7�e-7J <br /> 1) BUILDING PERMIT FEE low 1011,90 <br /> (A) PLAN CHECK FEE $ <br /> 2) PERMIT IS SERVICE BE PAID BEFORE. BUILDING $ X76. Up <br /> (A) TO BE DETERMINED BY PLBG. INSP. INCH <br /> (B) EXIST. WATER SERVICE, APPL. NO. <br /> (C) LOCATION c;? " G• t W.921e L,.Ve "d <br /> &qoy RD In F&Nr of PA)I'F ty CHART_, -/ -d— <br /> DRIVEWAY PERMIT TO BE PAID BEFORE/ BUILDING tPE) $ V PERMIT IS ISSUED FT.e /n�jy�.r Si�E O/r oG.v 7Y�e 'of ©�w ANONAcc' as r�TO�?AL# $ '��C• 1'a <br /> w Pc' <br /> D, d� ,,ccam� 2-a- cyse wIr <br /> 4�aD <br /> 4) STAyyTUKOF SEWER CHARGES: �a IrSv. <br /> • BOND DISTRICT FOOTAGE <br /> N. S, E. W. <br /> LANDSCAPE NOTES SEWER CONNECTION CHARGES: <br /> TRUNK $ -- <br /> LATERAL $ <br /> TOT:{L CONNECTION CHARGE $ <br /> SEWEn PERMIT FEE $ - <br /> CATCH BASIN PERMIT FEE $_ <br /> TOTAL SEWER PERMIT FEES $ <br /> 5) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION: TRUNK $ - <br /> LATERAL $ T6 <br /> SEWER SERVICE: $ <br /> LOCATION OF SIDE SEWER OR TEE IN THE MAIN: CHART <br /> roe <br /> tW <br /> INFO COMPILED BY: lDATE Z�/�- Z f <br /> 1:57 DATE <br /> REVIEW: - <br /> ION <br /> ' r� TRAFFIC DTVI <br /> y AP ROVAL: ��Q DATE <br /> III��� �/1�7r NG EER G DEPARTMENT <br /> *This total must be paid before building permit is issued. <br />