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F <br /> ' ' �► li�i <br /> BUI �DING PERMIT INFORMATION <br /> ADDRESS TYPE s� 1 �$ <br /> (1) BUILDING PERMIT FEE ��j �' S 4'� •D� _ <br /> ;A) PLAN CHECK FEE ? '�__ <br /> (2) PLUM[31NC 3�,,� �•�� , <br /> (3) MECHANICr',L s'�•5� <br /> (4) WATER 5[RVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE E���WC{ . _ <br /> (A) TO B[ DETERMIN[D BY E3LDG INSPECTOR _ INCH <br /> (B) EXIST. _ WATER SERVICE, APPLICATION NO. _ <br /> (C) APPROX. LOCATION <br /> CHART <br /> (5) DRIVEWAY PERMIT TO B[ PAID PRIOR TO BUILDING PERh11T IS- 2�� <br /> SUANCE FEET DRIVEWAY(TYPE) 3 __ <br /> b <br /> (7) STATUS UF SEWER CHARCES: <br /> E30ND � DISTRICT FOOTAGE <br /> N, S, E, W <br /> NOTES <br /> � <br /> � �sY �lZc� .7s -rc� <br /> u`n u Y`t '�u�..� �,.{ f I�o� <br /> To l�u i �.cy A �., 7 P�-� c�. <br /> �__ .__-- --- . _. _ ___... .. . _ ____..___ <br /> --------..._ <br /> SEWER CONNECTION CHARGES <br /> YEAR TftUNK 3 <br /> LATERAL <br /> TOTAL CONNECTION CHARGES b _ <br /> � <br /> SEWER PERMIT FEE b 30•OT� <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES S =��Q� <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK E — <br /> LATERAL — <br /> S[WER SERVICE — — <br /> APPROX LOCATION OF SIDE SEWER OR TEE IN THE MAIN: _ <br /> CHART <br /> INFO COMPILED BY: DATE <br /> APPROVAL: DATE <br /> ]/H] <br />