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BUILDING PERMIT INFORMATION <br /> ADFRESS 4vi <br /> TYPE OF BUILDING DATE 124 -7y <br /> 1) BUILDING PERMIT FEE $ Z d cs <br /> (A) PLAN CHECK FEE $ G <br /> I 2) WATER SERVICE TO BE PAID BEFORE BUILDING <br /> PERMIT IS ISSUED $ <br /> (A) TO BE DETERMINED BY PLBG. INSP. INCH pct <br /> (B) EXIST. 3/�/ f� WATER SERVICE, APPL. NO. <br /> (C) LOCATION <br /> CHART-5- 1 S �. <br /> 3) DRIVEWAY PERMIT TO BE PAID BEFORE BUILDING <br /> PERMIT IS ISSUED (G FT. ,QJ)P111W1- D/W (TYPE) $_ 7 <br /> -TT 9 <br /> TOTAL* $ 5�- <br /> 4) STATUS OF SEWER CHARGES: <br /> BOND_ DISTRICT 2 FOOTAGE 70 <br /> N, E;, W. <br /> i <br /> LANDSCAPE NOTES SEWER CONNECTION CHARGES: <br /> TRUNK $ <br /> LATERAL $ <br /> a <br /> 1� TOTAL CONNECTION CHARGE $ <br /> SEWER PERMIT FEE $ d <br /> CATCH BASIN PERMIT FEE $ <br /> TOTAL SEWER PERMIT FEES <br /> i <br /> 5) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCT ION: TRUNK $ �Q <br /> LATERAL $ , :?3 <br /> SEWER SERVICE: $ <br /> LOCATION OF SIDE SEWER OR TEE IN THE MAIN: CHART 2�-� <br /> /SSS GtJ�ST 60' 71) <br /> eP- <br /> INFO COMPILED BY- DATE_ /Z �q_7 <br /> REVIEW: �L ��,, Z AFFIC DIVISION DATE 1 f 7f- <br /> APPROVAL: DATE .&— <br /> ENGINEERING DEPARTMENT <br /> *This total must be paid before building permit is issued. <br />