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�- '.� <br /> E3UILDING PERMIT INFORMATION <br /> ADDRESS _ <br /> TYPE CiU�>1�/7�T'��/a-L <br /> (1) BUILD�NG PERMIT FEEcI'�I��(.�T�O . � s G���� <br /> (A) PLAN CHECK FEE �-�{•p R�p� p�p�,J fl�!��-' /�'�� <br /> (2) PLUMBING �f?/�'�U//d�' <br /> (3) MECHANICAL — <br /> (�) WATER SER\'ICE TO BE PAID PRIOR TO BUILDINC PERMIT ISSUANCE ��� ��� <br /> (A) TO BE DETERMINED 8Y BLDG INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION <br /> CHART <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMI7 IS- � <br /> SUANCE _ FEET DRIVEWnY(TYPE) S _ <br /> S <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE <br /> N, 5, E, W <br /> NOTES <br /> ��GIAL 11711.17t( '�'='� <br /> ��o. ll7(- 8 s- <br /> (�-y O �Z 02. !t/ <br /> 6�� �'.�4, 14_ <br /> }�'����.7'3 <br /> SEWER CONNECTION CHARGES <br /> YEAR _ TRUNK S <br /> LATERAL <br /> TOTAL CONNECTION CHARGES S <br /> SEWER PERMIT FEE s � <br /> CnTCH BASIN PERMIT FEE <br /> TOTAL SEWEIt PERMIT FEES s �� _ <br /> p) MONTHLY SEWER CH/1RGE5: `, <br /> SEWER CONSTRUCTION TRUCK s <br /> LATERAL <br /> SEWER SERVICE <br /> /1PPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHnRT <br /> INFO COMPILED BY: flATE <br /> �PPRUVAL: DATE _ <br /> ,�+ <br /> 5 84 <br /> . . . . . � i � . � <br />