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�� •v? <br /> BUILDING PERMIT INFORMATION <br /> /1DDRE55 �.f1�� �7ZC. /�V'�� TYPE Sl�tu E M� :.- I/� <br /> (1) BUILDlNG PERMIT FEE (Z�i�� '�' S 7U4. S� <br /> (A) PLAN CHECK FEE LP�� �� <br /> (2) PLUMBING ��� � <br /> (3) MECHANICAL �S� <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUII��I��, PERMIT ISSUANCE F/�-e� <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR � INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION <br /> _CHART <br /> (5) DRIVF.WAY PERMIT TO BE PAID PRIOR TO 9UILDING PERMIT IS- <br /> SUANCE FEET DRIVEWAY(TYPE) S �ZD��v <br /> S _ <br /> (7) STATUS OF SEWER CHARCES: <br /> BOND DISTRICT FOOTAGE ����� <br /> N, S, E, W <br /> NOTES <br /> SPEz�r,� UT�L�TY �� <br /> O,e%� //�/-8 5' <br /> /-!2 a � � 24, � <br /> y�zu� s �s�1 • � <br /> � SI3� �SEWER CONNECTION CHARGES <br /> YEAR TRUNK S <br /> LATERAL <br /> TOTAL CONNECTION CHARGES E <br /> SEWER PERMIT FEE s �' �� <br /> CATCH BASIN PERMIT FEE ��,^�v <br /> TOTAL SEWER PERMIT FEES s <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK s <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> INFO COMPILED BY: DATE <br /> APPROVAL: DATE <br /> S P4 <br />