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1•IIV I. 111`1.1\II.II$ III.II %.11.1. 0Md I1 .,I-I,V 1.% I.., <br />)WILDING 111.1:!11'I' llll'0WlA'lIll)!l <br />rlDl!I:SS 7.7 <br />�0(O7r;- /__ --•-- —_. TXI'1' <br />} DUILDII:G P)MAI.1. 1'liL SUsQC%lJ• G v • $.w / �% C, <br />(A) PLAIN CLICK F)M <br />PLUMBING <br />MECHANICAL <br />WATER :;PTT;VICr TO BE PAID DliMNE BUILDING <br />P1:10-11T IS ISSU1:1) <br />(A) TO Br DET).MMINED 13Y PL13G. I11SP. •�_I!?Cli ` <br />Oil EXIST. 1•?AT):R SERVICE, APPL. 140. <br />(C) APPROX. LOCATION? <br />CHART <br />MIVE!1 ;Y PErIJ13T TO BE PAID D1:FORE WILDING <br />PEP.%IIT IS ISSUED _ L5 FT. _D/f1 (TI'Pr) <br />STATUS OF SEWER CHARGES: TOTAL $ <br />) UND DISTRICT 0. FOOTAG <br />• � '1? Si 1., Nl. • <br />!MONTHLY SEI•)L•'R CIIARGL•'S: <br />`' SM41"ll CONSTRUCTION: <br />SEURP. CO:ITl1:CTI0N•1 CHARGES <br />YEAR e_ TRUN211% $ <br />LATERAL $ <br />TOTAL C07N1PIECTION CHARGE'$ <br />SPIER PER+ XT rnE <br />CATCH DASIl1 P.Er`IIT FEE: <br />TOTAL SMIER rim"133 FEES$ �J <br />TRU14K $ 0• Z C� <br />LATERAL $ - --- <br />1:E IN TJ)li' 3•IAIN:' ' ' <br />sl !•]rat <br />SL•'RVICP. <br />1'ROX. LOCATION' Or <br />SIDE Sri1 M <br />OR'T <br />'o ce�ulxr•Ep na/; <br />Iltavllrl: ' <br />CHART <br />15hTr, <br />DATN <br />r <br />