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i <br /> � <br /> � �,� <br /> � <br /> BUILDING PERMIT INFORMATION <br /> ADDRE55 ���G' � �'`� �" 'r� '� TYPES"'�4�-E �ivuw � <br /> (1) BUILDING PERMIT FEE �-3�OC`���� s '� ��� . <br /> i <br /> (A) PLAN CHECK FEE �{'�� '�aJ� I <br /> � ��� � � <br /> (2) PLUMBING � �� .,� <br /> (3) MECHANICnL �—�- <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PER IT ISSUANCE "�-�� <br /> (A) TO BE DETERMINED BY 9LDC INSPECTOR �— INCH <br /> (B) EXIST. WATER SERVICE, APPLICATIUN NO. <br /> (C) APPROX. LOCATION <br /> Co'� M ia i U Q.PP� t�c lC7 S o�' <br /> � ur� Ic.1i.�) CHART � � —ZS ��� - <br /> (5) DRIVEWA EPY RMIT TO BE PAID PRIOR TO BUILDING PERMIT IS• �D 'l <br /> SUANCE _--FEET DRIVEWAY(TYPE) S - <br /> S <br /> (7) STATUS O�WER CHARGES: <br /> BOND DISTRICT _FOOTAGE _ <br /> N, 5, E, W <br /> NOTES <br /> s P�ZI A1. S�.u+�t, `�. <br /> O.zr� 1171-$S" <br /> S .G'. (z, l ld-0 � <br /> !�-z a � 1'Lq . o0 <br /> � �.-�i .00 <br /> -� co5-r�• a� <br /> SEWER CONNECTION CH�RGES z ZO ,�a <br /> YEAR S �P TRUNK S <br /> SO. � a <br /> LATERAL -�.zO v � <br /> TOTAL CONNECTION CHARGES f <br /> �.-� <br /> � � i <br /> SEWER PERMIT FEE s ' <br /> CATCH BASIN PERMIT FEE 3� Ba <br /> TOTAL SEWER PERMIT FEES s <br /> (7) MONTHLY SEWER CHARGES; s <br /> SEWER CONSTRUCTION TRUCK <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF 51DE SEWER OR TEE IN THE MAIN: <br /> �.�sT TJ �� 1.�PPQ�r <br /> 39 � s,W trF M,4�-. d. - 9r �oo' 21�y Acst� _P� �Pl S�S <br /> CHART <br /> INFO COMPILED BY: <br /> � DATE <br /> APPROV�L: <br /> ' DATE <br /> 5 BA <br />