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, . , � _ • <br /> ; <br /> BUILDING PERMIT IN�ORMATION <br /> ADDRESS I41D E� C�JS/(LIa /GO• TYPESfR.Llt(E�ioM/LY_� <br /> � co5� � <br /> � � (1) [3UILDING PERMIT FEE L'j� Q��•� S _ 2 —_ <br /> � (A) PLAN CHECK FEE — <br /> �'�'�� (2) PLUMf11NG _ <br /> ,� � (3) MECHANICAL <br /> ,0��� (4) WATER SERVICE TO 13E PAID PRIOR TO [3UILDING PfRP11T ISSUANCE —��� <br /> � _ 3/� INCH <br /> � (A) TO BE DE7ERMINFD �Y �LDG INSP[CTOR_ `,} <br /> z <br /> � (f3) EXIST. WATf.R SERVICF, APPLICATION N . <br /> ��g (C) APPROX. LOCATION <br /> �. c� <br /> s�+ CHART <br /> ry <br /> �y (S) DRIVEWAY PFRMIT TO fiE PAID PRIOR TO BUILUING PERMIT IS- �� -�� — <br /> t,�t~n SUANCE �--FEf.T _ DRIVEWAY(TYPE) b — <br /> ��� s <br /> o� <br /> (7) STATUS OF SEWF.R CHARGES: <br /> (IONp •T� DISTRICT ___ FOOTAGE <br /> N, S, E, W � <br /> NOTES <br /> 5��,d.c. k 7<G� ry ��' <br /> O2r> 1���-8s' <br /> �1y o �/52 •� U <br /> �C��'� ��x� ¢�od <br /> J i t r5Z- , <br /> SEWER CONNEC i lON CHAFfES 274, OO <br /> 1 �� YEAR S7 TRUNK S <br /> I � LATERAL �.� <br /> i ,_� TOTAL CONNECTION CHARGES S _ Z !�' <br /> ` Q� <br /> SEWER PERMIT FEE 5 "'v � <br /> �� <br /> ��� CATCH DASIN PERMIT FEE � <br /> TOTAL SEWER PERMIT FEES � <br /> ; (7) MONTHLY SEWER CHARGES: <br /> �� SEWER CONSTRUCTION TRUCK s — <br /> j LATERAL <br /> �I � SEWER SERVICE <br /> �PPROX LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART �-- <br /> INFO COh1PRED 13Y. _ DATE _ — <br /> DATE <br /> APPROVAI <br /> 5 ��I <br /> , [ ' <br /> � <br /> � <br />