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ADDP.FSS 76 & - 91 '57- Z- : , F, DATE M —A —7 <br />TYPE OF BUILDING S//V 6ZE rA/VI/L <br />(1) BUILDING PERMIT FEE $ <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 251 FT. GoNe, D/W (TYPE) <br />TOTAL * <br />$ U <br />$ la,So D <br />% <br />(4) STATUS OF SEWER CHARGES: <br />�7 <br />BOND L2Z:, DISTRICT FOOTAGE <br />N, S, E, W <br />�tJ.rIe o�v�. Y <br />—�^ SEWER CONNECTION CHARGES: <br />TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGE <br />SEWER PERMIT FEF <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(5) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION: <br />TRUNK <br />$ /37. SO <br />$ ZY7. SD <br />$ 30.00 <br />$ 30,Oo - <br />LATERAL $ <br />SEWER SERVICE $ S0 <br />TOTAL $y 7S <br />LOCATION OF SIDE SEWER OR TEE IN THE MAIN: le(71�I�� <br />CvL 'B6 -silt A%� ��� //INFO COMPILED BY.woe, f1 _-- <br />*This total must be paid before `J <br />building permit is issued DATE 0 — <br />