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, ,�:;', <br /> a <br /> BUILDING PERMIT INfORMATION <br /> ADDRESS I I�Yn �, L lZi_�,�f� '�l�U _TYPE <br /> (1) BUILDING PERMIT FEE s .[ 5b <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBING _�_ <br /> (3) MECHANICAL —" <br /> („ A) TTO BE DETERMINED BY EiLD RINOS EC'TOR G PE`3� NCH (nQ�� <br /> � CJ J <br /> (8) EXIST. WATER SERVICE, APPLICATION NO. � <br /> (C) APPROX. LOCATION <br /> _ _CHART <br /> (5) DRIVEW'AY PERMIT TO B[ PAID PRIOR TO BUILDING PERMIT IS- � <br /> SUANCE _FEET DRIVEWAY(TYPE) S ��`� <br /> S <br /> (7) STATUS OF SFWER CHARGES: <br /> BOND _ DISTRICT FOOTAGE _ : <br /> N, 5, E, W <br /> NOTES <br /> ����"�7 � 7��i <br /> �� � . <br /> h�� <br /> SEWER CONNECTION CHARGES � <br /> YEAR TRUNK S a 7�_ <br /> L�TERAL �� <br /> TOT.�L CONNECTION CHARGES S �c�� � <br /> �, '.�c�7 <br /> SEWER PERMIT FEE S C�— � <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES S ��'— <br /> (7) MONTHLY SEWER CHARCES: <br /> SEWER CUNSTRUCTION TRUCK S ; <br /> LATERAL � <br /> SEWER SERVICE <br /> APPROX LOCATION OF SIDE SEWER OR TfE IN THE MAIN: <br /> CHART <br /> INFO COMPILED BY: DATE <br /> APPROVAL: _ DATE • <br /> rier <br />