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.A� , <br />BUILDING, PERMIT INFORMATION <br />ADDRESS <br />TYPE OF BUILDING• ny�«� — —•---• <br />1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />2) VJ,TER SERVICE To BE PAID BI:I'OItE BUILDING <br />PERMIT IS ISSUED <br />TO BE. DETER MINED 13Y PLBG. INSP. 3� INCH <br />DATE I"___�• '_ <br />%, <br />s /a3•s <br />$ 4010• 00 <br />iB) EXIST. WATER SERVICE, APPL. NO. <br />(C) LOCATION SA <br />a <br />�T 7 ���•G• IlI� A� CHART ' =2-0O <br />3) DRIVEWAY PERMIT TO AID BEFOR BUILDINGD(TYPE) y a o <br />PERMIT IS ISSUED3�� FT. <br />TOTAL', S _ <br />4) STATUS OF SEWER CHARC ♦ �1� r L�3, <br />BOND_ DISTRICT FOOTAGE <br />N_ <br />, E, W. <br />SEWER CONNECTION CHARGES: <br />TRUNK <br />RAL <br />TOTAL CO�E3C7�ILNf RGE <br />SEWER PERMIT FEE <br />CATCH BASIN PER\IIT FEE <br />TOTAL SEWER PERMIT FEES <br />5) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION: <br />SEWER SERVICE: <br />40LOOCATION OF SIDE SEWER OR TEE IN•THE <br />INFO CO\•1 I DyBY: <br />REVIEW: ` <br />�Ip <br />APPROVA <br />`m <br />TRUNK <br />LATERAL <br />N: CHARS <br />73 �r�•- <br />This total munl be paid before building permit is issued. <br />5 <br />5 �•ri0 <br />s /. b'�_ <br />s 3-� ._�75 <br />$���eA-L _ <br />r <br />DATE <br />DATE_ <br />DATE -2 .5' 76 <br />