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AM) CQ:I:IUIiI'1'Y 1;I:ICV).l'I:5_ <br />DUIIDING 1is . <br />AUl)1:I;�S TYPE <br />]) BUILDING Plat:11T PEN ti-/' . f ?' • /Al/ . <br />2) <br />3) <br />n) <br />(A) PLAN C1IL•'Cl; rE•'l: <br />PLUMBING _ <br />. • <br />IIECIIA14ICAL <br />WATER SERVICE TO BE PAID BEFORE BUILDING <br />PEIL••II'P IS ISSUED <br />(A) TO DE DETERMINED BY PLIIG. INSP. �1�_ INCH <br />(n) EXIST._ WATER SERVICE, APPL. NO. <br />(C) APPROX. LOCATION <br />CHART <br />S <br />5) WIIVEPIAY <br />Pr!'V lT TO DE PAID BEFORE <br />PUILD ?1G <br />1'MMSIT IS <br />ISSUED FT. LD/I.1 <br />(TYPE) $11 [J <br />6) STATUS OF <br />SEWER CNARGES: <br />44n <br />DOSD <br />DISTRICT <br />F00'PAGE <br />"`- <br />• <br />N, S, L•', Yl. • <br />NOTES <br />/) :iUNTHLY SWER CHARGES: <br />SMIER CONSTRUCTION: <br />SEWER <br />CO-NNECTION CHARGES <br />YEAR <br />% 8 TRUNK $ <br />• LATERAL <br />TOTAL <br />CON'l7rCTION C)WiIGr$ <br />S).•)ER <br />PERMIT FP•.P•. <br />CATCH <br />BASIN PrR:IIT rEE $ <br />TOTAL <br />SMIER PERMIT FEES$ <br />�.�)• G L) <br />F • TRUNK. $ <br />�G ' �✓ <br />-LATERAL $ <br />SIQER SERVICE <br />APPROX. LOCATION Or SIDE SE'QER OR•TEE IN THE MAIN: <br />I)IFO C0:11'ILE)) BY: <br />APPROVAL: <br />CHAIIT ' <br />nn'rh <br />- DATV — <br />