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PUId C1':° nVLY . . <br /> LNGINliL'RING AND COfUlUf7I'PY :,13RVICi:S <br /> IIUILDING Pr12h1I i INCORMATION <br /> I�DDRESS �L4-�n�M �� __ T�PE S � � <br /> 1) IIUILDING PER:IIT FEE �z„�� Z,{ 1Q. �J $ ���� ��� <br /> (A) PLAi7 CfIECK FEE $ <br /> 2) PLUMBING . $ �7 . OU <br /> 3) MECIiANICAL $ rl . D�� <br /> 4) F��1TER SERVICE TO BE PAID B�FOR� BUILDING $ r� QO Q p <br /> PER�IIT IS ISSUfiD �� <br /> (A) TO IIE DETERMI:V�D BY PLBG. INSP. �Q- INCH <br /> (R1 �XIST. TdATER SERVICE, AP£L. N0. <br /> (C) APPROX. LOCATIG:? L�.' � q� �' �✓i,r3l�eJ 4�}'�'�s L� `�T` r.� O F <br /> � ,�,� �-.��-, cx.�*��r _�'�l9 U <br /> 51 DRIVE:•7AY PERP4IT TO BE PAIDFTEFO���`TI�/FI (TYPE) $ � s� <br /> PER+3IT IS ISSUED �_ <br /> 6) STA:US OF SEN:'R CH�IRGES: TOTAL S <br /> BOND �_DISTRICT _ �, FOOTAGE <br /> r:, S, E, VT. <br /> 'i SEts]ER CONN�CTION CFEAR�E5 <br /> NOTES � 1 <br /> � YEAR �_ TRUVK $ �/�- Ua <br /> LI�TERF�L $ �� V O <br /> TO'I'I�L CONDTECTTCIN CfiAR��,$ �� � <br /> �'��l��j� � i S�i <br /> SE'';ER PER�9IT FEE '� $ ��- � �-i <br /> CATCH BASTN PEFu`tIT FEE $ <br /> TOTI�L SEt��ER PERPQIT FEES$ �jO � G <br /> 7) "10NTFILY S�I'7ER CHARGES: <br /> SE?9ER CON�TRUCTION: TRUNK S �� S� <br /> LATERIIL S Z'2� <br /> SE�^IER SrRVICE S �, �� <br /> 11PPROY. LOCnTION 0?? SID� SP'9E'_2 OR TEE IN TIIE MAI�1: ^�1 � ������ � � �� <br /> l��1��� �JT. �? l.l�7ES7 A f TO OL�O c��. .�L���s.. � '�-8 �T <br /> � <br /> ta l� c� �eon�wn�t�r.n�r �!�- �` Z'�--�._ <br /> � �ann� <br /> INP'0 CO[9PII�LD flY: � DATE _, <br /> APPROVAL: ____. D�7� <br />