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- 114GIPEURING AIW CQ:1?IUII1'1'Y !;I:I:VICI S — <br />r BUILDING 1'EWICT if'1_OIMATIMI <br />ADDRESS C 41 ('�?1 _ r - TYPI; <br />1) BUILDING PER:IIT FEE s a) Is '"c) S / r _u <br />S _FT <br />(A) PLAN CIIL•'CK PLE <br />2) <br />PLUMBING <br />$ <br />Z �� <br />• , <br />3) <br />14ECIIAIIICAL <br />$_ <br />4) <br />WATER SERVICE TO 13E PAID BEFORE BUILDING <br />PEWIT IS ISSUED <br />$ <br />(A) TO DE DETERI4INIED BY <br />PLBG. INSP. NCH <br />(RI EXIST._ WATER <br />SERVICE, APPL. NO. <br />(C) APPROX. LOCATION <br />�- <br />- <br />CHART FL. a <br />s) <br />DR! VEWAY PERMIT TO BE PAID <br />BE OR BUILDING <br />Too"on *7 -2 S " D/1.1 (TYPE) <br />G) <br />PER:.I4 I — <br />STATUS OF SEWER CIIARGES: TOTAL $_ <br />BOND y DISTRICT 3 S FOOTAGE <br />Pl. <br />NOTES <br />7) !iO:NTiILY SEWER CHARGES - <br />SEWER CONSTRUCTION: <br />S£1•}ER CON^}ECTION CHARGES <br />YEAR TRUNK <br />LATERAL $ -� <br />TOTAL C01,I4ECTION CIIARGE$ Z Zo <br />SOIER PERMIT FEE $ 30 <br />CATCH BASIN PEIL`IIT PEE $ <br />TOTA7'. SEI•?ER PL•'1L'•SIT FEES$ :J <br />P TRUNK $— i • Z s _ <br />-LATERAL $ <br />SMIER SERVICE <br />APPROX. LOCATION Or SIDE SE'3ER OR'TEE IN TILE MAIN: <br />CUAl.lT !)Q(q. <br />II•IFO CO`IPILEJ) BY: c%� � �` � -t _ nn'PE �� <br />ArrrOVAL: DATE <br />J <br />