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ADLt1hbJ 7 6 7 - 9,4 k4 0E DATE ` -A�1- 744 <br />TYPE OF BUILDINGSIA164e /"irr9I WI Y <br />(1) BUILDING PERMIT FEE $ Or-) <br />(A) PLAN CHECK FEE $ <br />(2) WATER SERVICE TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED $ <br />(A) TO BE DETERMINED BY PLBG. INSP.INCH <br />(B) EXISTING INCH WATER SERVICE <br />APPLICATION NO. <br />(3) DRIVEWAY PERMIT TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED 29FT. GeNG D/ W (TYPE) <br />TOTALS <br />(4) STATUS OF SEWER CHARGES: BOND�_DISTRICT -?S FOOTAGE <br />01V I'le N, S, E, W <br />SEWER CONNECTIONCHARGES:ARGES: $ <br />LATERAL $ J <br />TOTAL CONNECTION CHARGE $ I370 5� D <br />SEWER PERMIT FEE. $ .70, or) <br />CATCH BASIN PEF'.MIT FEE $�— <br />TOTAL SEWER PERMIT FEES $ 3O, D d <br />(5) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION - <br />TRUNK $ of O�J <br />LATERAL $ <br />SEWER SERVICE $ a . S d <br />TOTAL $ 4. 7 <br />LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />lQ GvFST D/n . /w QOn'1 AL SLR <br />A Saud' �op 6000:— CsdO[.f7/� <br />INFO —fLLL <br />COMPILED BY <br />*This total must be paid before <br />building permit is issued DATE 16- *-2V <br />