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\IIIfIF1Rii'dYiAR6• <br /> a BUILDING PERMIT INFORMATION <br /> ADDRESS 5 �4 — G Q � 's/ __ <br /> DATE <br /> TYPE OF BUILDING �c✓PL �X Y 2Z-ZJ� <br /> 1) BUILDING PERMIT FEE $ <br /> (A) PLAN CHECK FEE $ <br /> 'L) WATER SERVICE TO BE PAID BEFORE BUILDING 3/i S $ . •L S ' Ufj <br /> PERMIT IS ISSUED t" <br /> (A) TO BE DETERMINED BY PLBG. INSP. dl INCH <br /> (B) EXIST. WATER SERVICE, APPL. NO. <br /> (C) LOCATIION - o____G•T A2A(M AI�C�U�I S 56 <br /> 6r-co L•N 0 CHART�,SO <br /> 3) DRIVEWAY PERMIT TO BE PAI RE BUILDING ��1�,,,��,��A 7.5 <br /> PERMIT IS ISSUED _� FT. D/W (TYPE) $-ANNE <br /> • 3T j fIAGT TOTAL* $ <br /> 4) STATUS OF SEWER CHARGES: 7 r' <br /> BOND DISTRICT �_ FOOTAGE N S, E, W. <br /> LANDSCAPE NOTES SEWER CONNECTION CHARGES: <br /> TRUNK <br /> �c�,� <br /> 0'7 LATERAL / �$3V. Zr <br /> TOTAL CONNECTION CHARGE $ 495,0, O2_ <br /> SEWER PERMIT FEE Pd.-.(3(_r $ �• �/ <br /> CATCH BASIN PERMIT FEE $ <br /> TOTAL SEWER PERMIT FEES O O <br /> 5) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION: TRUNK $ �•a _ <br /> LATERAL <br /> SEWER SERVICE: $ MEreeavD <br /> M <br /> LOCATION OF SIDE SEWER OR TEE IN THE MAIN: CHART /r/ C2 Lr <br /> /'dQ Tv 11- oOF M.N /6� (ou•u ID FsRdr Q�/Uel f�PP2ib4 <br /> / Q A G <br /> DATE '7 -Z <br /> INFO COMPILED <br /> ��B � <br /> REVIEW: �Q" /& � DATE <br /> TA <br /> IC DIVISION <br /> APPROVAL: _/ _. _ DATE -7J.NG ING DEPARTMESI� <br /> ...This total must be paid before building permit is issued. <br /> I <br />