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BUILI�ING PERMIT INFOi3h9/��'�UN <br />ADDRESS �X8 �Z��Y �L`J�J• TYPEScti!(,�LC �at�crr ,V�` <br />(1) BUILDING PERMIT FEE L�..(p�OQ�-A� 5 38�.Sr'D <br />(A) PLAN CHECK FEE �� '� g��s <br />(2) PLUMBING �'�' � U� <br />(3) MECHANICAL - 2�'���� <br />(4J N�ATER SERVICE TO BE PAIU PRIOR TO BUILDING PERMI ISSUANCE -���� <br />(�) TO BE DETERMINED 8Y dLDG INSPECTOR�—INCH <br />(E3) EX,IST. __ WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCnTION <br />CHART <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE <br />FEET <br />(7) STATUS OF SEWER CHARCES: <br />BOND �—DISTR�CT <br />NOTES <br />S�'�Gl/�L �.u(�, � <br />�Q/> �i7�' 8 c�� <br />s.r-e. <br />�2� <br />! "19,. c� <br />DRIVEWAY(TYPE) S <br />S <br />FOOTAGE <br />N, S, E, W <br />s�-��-rL d�_�b <br />��' SEWER CONNFCTION CHARGES <br />YEAR g �P TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />i <br />SEWER PERMIT FFE <br />CATCH BASIN P� iM1T FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />5[WER CONSTRUCTION <br />SEWER SERVICE <br />b �'�D-� d <br />395-�v <br />5 "�2s .vc� <br />$ �Q. Da <br />b ?D.C9 D <br />TRUCK b <br />LATERAL <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED DY: <br />�PPROVAL: <br />, oa <br />CHART <br />DAT [ <br />DATE <br />