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ADDRESS <br />-_,I?Q O — y/-17 Z1 S� !=� DATE /4— 7`7' <br />TYPE OF BUILDING S/NGL� ,�,�J/Yf�� <br />(1) BUILDING PERMIT FEE <br />(A) PLANT CHECK. FEE $ <br />C!) WATER SERVICE TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED $ Coo, Q Q <br />(A) TO BEDETERMINED BY PLBG. INSP• 3 INCH lY <br />(B) EXISTING INCH WATER SERVICE <br />APPLICATION NO. <br />(3) DRIVEWAY PERMIT TO BE PAID BEFORE BUILDING h i� <br />PERMIT IS ISSUEDqj,S' _FT. D/W (TYPE) $ <br />TOTAL i `J <br />(4) STATUS OF SEWER CHARGES: <br />BOND DISTRICT FOOTAGE <br />-I-RO K, ®NL V N, S,- <br />SEWER CONNECTION CHARGES: <br />TRUNK $ /3 7, SD <br />LATERAL $ <br />TOTAL CONNECTION CHARGE $ <br />SEWER PERMIT FEE $ 30. p o <br />CATCH BASIN PERMIT FEE $ <br />TOTAL SEWER PERMIT FEES $ 3G, o <br />(5) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION: <br />TRUNK $_2, As <br />LATERAL $ <br />SEWER SERVICE $ aZ 90 <br />TOTAL sjL,7S <br />LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />*This total must be paid before INFO COMPILED BY <br />building permit is issued DATE ZQ /Zi_ 7� <br />