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LNGIIJ:,EHllJG A14D COMMUNITY SPHVICES <br />BUILDING I'I:RI41T INPf)llldA'PIO!l <br />ADDRESS 67 <br />1) BUILDING PERMIT FEE 74-7• ot� <br />(A) PLAN CHECK. FLE <br />2) PLUMBING <br />3) MECHANICAL <br />4) <br />5) <br />6) <br />RATER SERVICE TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED <br />TYPE <br />$ <br />$ /L•oo <br />(A) TO BE DETER14INED BY PLBG. INSP. Y4 INCH <br />(11) EXIST. WATER SERVICE, APPL. NO. <br />$ &to, 0U <br />(C) APPROX. LOCATION L!//rZ=L TO OjZcw dDp/gr <br />4 5 0A--- Al tU doge, Go-r CHART <br />DRIVES•L'1Y P1:R'IIT TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED Z5 FT. (TYPE) $ � �• <br />STATUS OF SWER CHARGES: TOTAL $_90 <br />BOND �%ZZ+ DISTRICT 3 5 - FOOTAGE <br />N, S, L, W. <br />SEWER CONNECTION CHARGES <br />NOTES <br />YEAR 7 % TRUNK "" <br />LATERAL $ <br />TOTAL CONNECTION CIIARGE$ Z'LD GNU <br />SE'•;ER PER?iIT FEE $ j0- U0 <br />CATCH BASIN PEWlIT FEE $ <br />TOTAL SEWER PLRNIT FEES$ 30' 00 <br />/) NONTHLY SEWER CHARGES: <br />SEWER COIISTRUCTIO14: TRUNK $ 2 • �L 5 <br />LATERAL $ <br />SEWER SERVICE $ <br />APPROX. LOCATION Or SIDE SE'IER OR TEE IN THE MAIN: <br />�c '!6W 1,A) /lf>PyCv' /5 Ff A/ 6Y' J• . �L'/L AI ttiG <br />Tv %� <br />11AVEY TF7- "tom. CHART <br />INFO CO`IPILLD BY: DATE <br />APPI:OVAI,: DATE . <br />