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,i <br /> I, � �� . <br /> I ' <br /> � UILDING WERMiIf INFO�tN1AT10N � <br /> Hc�H -, � ., � , • ��i . � �� V � 7YPE <br /> �'� � nDDRESS _ • - ' z_ ' 1 �.�_. � ... <br /> ��'� � I ( � �, � -�' <br /> c � N i1) BUILDING P[RMIT FEE <br /> � � �^ (A) PLAN CHECK FEE <br /> i� :sN (2) PLUMRING <br /> re n <br /> o x o (3) .�1ECF'ANICAL <br /> �v� i-�i 4 WnTER SERVICE TO BE PAID PRIOR TO BUiLDING PFRMIz 155UANCE _ — <br /> ( 1 i� � � /�' '- <br /> � �� (A) TO BE DETERMINFD [31' 13LDG INSPECTOR --' INCH � -�.�- - ;_:� <br /> on � (B) EXIST �VATER SERVICE, �PPLICATION NO. ��I <br /> �;� � (C) APPROX IOC�TION <br /> 9H�t" � y _CHART <br /> gdy (5) DRIVEWAI' PERMIT TO B[ PAID PRIOR TO BUILDING PERMIT IS- C) �p <br /> ��� SUANCE FEET DRIVEWAY(TYPE) � a''1 �� (�— <br /> H tn $ <br /> H O t/� <br /> (7) STATUS OF SE�NER CHARGES. <br /> �,��J __ _.�___ DISIRICT FOOfAG[ <br /> N, 5, E, W <br /> r�OTES <br /> (_ � l E C�l �-_ I ._ ,1=�1��� ��S��C <br /> 'T" �i <br /> y..�(���''!S � �� � � ,����_�' <br /> �," _.. --. � � ' � I; '' 1 ��_SLL <br /> 1 <br /> I ` <br /> (r� � c:-�,�,c� <br /> 1 ����I SEWER CONNECTION,CHARGES <br /> i <br /> ���� YEAR TRUNK $ � <br /> i LATERAL <br /> i �_ TOTAL CONNECTION CHARGES $ �_ <br /> � � <br /> � i.�Q SEWER PERMIT FEE $ ,�� <br /> CATCH BASIN PfRMIT FEE <br /> TOTAL SEWER P[RMIT FEES $ � �,�� <br /> � � I�I (7) MONTHLY SEWER CHARGES: <br /> I SEWER CONSTRUCTION TRUCK b <br /> LATERAL <br /> I �� SEWER SERVICE <br /> \ APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> INFO COMPILED BY: DATE <br /> ,�PPROVAL: _ DATE <br /> ,;a, <br />