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A DDR ESS___7Oq <br />TYPE Cl- BUILDING_ <br />S7e. DATI <br />I I BliILD::.� PERMIT YEL �Qrj <br />(Ai PLAN CHECK FEE <br />21 \t'ATE'!. SFR\'ICE TO BE PAID FEFCRE BI'ILD'.':G <br />PER:.:IT IS ISSUED <br />(A) TC BE DETER. I.NED FY PLI.G. INS: 31 INCH <br />IBI EXIST. \\'ATER SLR\'ICE. APPL. NC.- <br />(Cl LCCATION J] �l�e© iNtp S. (u f"w/ <br />CIO r�/\iQI _- C HA It T S - <br />5 i DRIC` \'SAY PERMIT TO BL PAID BEFCRE £UILDI:.G <br />PER:.:IT IS ISSUED�kC FT. 2Rrr D' ITYPEI <br />4) STATUS CF SER'ER ClLARGES � <br />BOND DISTRICT 3".S _ F CCTAGE <br />LANDSCAPE NCTES <br />t9 C) <br />TCTAL S 212.E <br />SE\\'Ei2 CC?:NECTICN CcLyRGE.�: <br />TRUNK S16r�_:� <br />LATERAL <br />TOTAL CONNECTION CMARGE <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEt1ER PERMIT FEES <br />5) MONTHLY SEWER CHAPGES: <br />SEWER CONSTRUCTION: <br />TRUNK <br />LATERAL <br />SEWER SERVICE: <br />LOCATICN OF SIDE SFWr-R OR TEE L1 THE. MAIN: CHART L - 4 -oiF - 5 <br />'Aa....,ffilp ;.mcf Oil f e,�rv� M.N. __iF� ox <br />4 C i,. ;'Pn// (lo <br />INFO COMPILED BY: <br />REVIEW: <br />APPROVAL: <br />1, <br />AFFIC DI\'15IU1r <br />r <br />This total must be paid before building permit is issued. <br />DATE �! <br />DATE >/=� <br />DA T E <br />y,r7,s-c <br />