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✓v\ 1� Ou l"I.. i..,, rt:: ...11 l..r Vn., I:%1 VL1.1" <br />ADDRESS -701 tz�: <br />T'iPE OF BUILDING 5 DATE <br />1 i BUILDI: 3 PERMIT FEF '70 • oc S /O�• DO <br />(A) PLAN CHECK FEE S �Lle•00 <br />21 WATER SERVICE TO FE PAID BEFORE L'UII.D'.'w <br />PER:.:IT IS ISSUED S 1'00,c7 c) Ifl <br />(A) TC BE DETERMINED BY PLED. INSP. J INCH <br />11 <br />(B) EXIST. PATER SERVICE, APPL. NO. <br />(C) LCCATION _STi/!!SF%� <br />CIi4RT S-t� <br />b) DRIVE11:AY PERMIT TO BE PAID EEFCRE DVILI DIN' <br />PER\:IT IS ISSUED Lam. FT. C1lC tTY?Ei S -7• S tJ <br />TCTAL <br />41 STATUS OF s.F ti':ER Cii:,% S: <br />BOND DISTRICT FOCTAGE <br />:..ANDSC.=.=E NOTES SEWER CONNECTIC.N CY4RGES: <br />TR*-Ni' ��-S, <br />LATERAL <br />TCTAL CCNNECTICN CF-kRGE S �(a d <'1J <br />SEVER PERI:IT FEE SQ.c� C) <br />CATCH 13ASIN PERMIT FFE S <br />TOTAL PERMIT FEES S 3U• V U <br />5) MONTHLY SEWER CHARGES: <br />SERER CCNSTRUCTION: <br />TRUNK <br />LATERAL <br />SEWER SERVICE: <br />Baas <br />s � •s O <br />LOCATION OF SIDE SEER OR TEE N TI E MAIN: CHART L -/d' -4l,4' �,.b <br />x/ /v `r ST' <br />INFO COMPILED BY: DATE - �- <br />REVIEW: DATE Q <br />APPROVA <br />-'This total must be paid before building permit is issued. <br />DATEa <br />390150 <br />