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i <br /> �-., i <br /> � t .. .r'� <br /> � <br /> BUILnING PERMIT If�IFORMATION <br /> � � ADDRE55 _I (I� ��SG�f'6c �� ' TYPE S��.A��� ,, <br /> p� � (1) BUILDING PERMIT FEE Gi.?j�(�. �.� � t <br /> � 'vi (A) PLAN CHECK FF.E <br /> 5• C� <br /> ���., (Z) PLUMBING C� �_ <br /> �� (3) MEGHANICAL J <br /> "d y"'d (4) WATER SERVICE TO UE PAID PRIOR TO E3UILDINC� PERMIT ISSUANCE ��s�=-� <br /> �x � (A) TU BE DETERMINED BY �LDG INSPECTOR � INC:H <br /> o� d (B) EXIST WATER SERVICE. APPLICATION NO <br /> �t�a g (C) APPROX. LOCATION . - — . <br /> �y� __ CHART <br /> HH <br /> g�� (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- �O •O� <br /> �� SUANCE FEET DRIVEWAY(TYPE) S = <br /> � E <br /> �� <br /> (7) STATUS OF�ER CHARGES. <br /> BOND __�' DISTRICT FOOTACE <br /> N, 5, E, W <br /> NOTES <br /> SC�+� u'ttLcyy � <br /> 4�j t/7�--$S <br /> f,f 2 a !7 q', ea <br /> (�C�` � ¢� �' � <br /> i �s°' <br /> � � � SEWER CONN CTION CHARGES Z?�,OO <br /> � YEAR �7 TRUNK S <br /> �—�� <br /> '' LATERAL ��� <br /> I1_�t TOTAL CONNECTION CHARGES b <br /> `� <br /> SEWER PERMIT FEE s '3�� <br /> �� CATCH BA51N PERMIT FEE E �� <br /> TOTAL SEWER PERMIT FEES <br /> � L��� (7) MONTHLY SEWER CHARGES s <br /> 'I SEWER CONSTRUCTION TRUCK <br /> LATERAL <br /> �� � <br /> SEWER SFRVICE <br /> APPROX LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> INFO COMPILED Bl': DATE <br /> DATE <br /> APPROVAL <br /> 5fta <br />