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�..,� <br /> BU � LDING PERMIT INFORMATION <br /> ��� � G�O�!/�ID [�G� _ TYPE�NCtLIs f�. � <br /> ���C ADDRESS /�(j5 .dp ' <br /> � (1) BUILDING PERMI� FEE s �Z7, i96D•�� S <br /> � tG _ <br /> s� (A) PLAN CHECK FEE <br /> ��� (2) PLUM8ING _ <br /> (3) MECH�NI(:AL �D� Dv <br /> ��� (4J WATER SERVICE TO k3E PAID PRIOR TO BUILDING PERMIT ISSUANCE — <br /> ��� (A) TO BE DETERMINED BY E3LDG INSPECTOR <br /> � INCH <br /> oH (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> ��� (C) APPROX. LOCATION <br /> �H� _ CHART <br /> �HH <br /> �� (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT I - ZOr � <br /> � SUANCE fEET DRIVEWAY(TYPE) S <br /> �� 5 -- <br /> (7) ST�TUS OF SF.WER CHARGES. <br /> BOND _Z� DISTRICT __ FOOTAGE <br /> N, S, E, W <br /> NOTES <br /> �,�a� u-n���r � <br /> d,a0 l/7/� B`.�r <br /> f „ Ny� /52 •do <br /> _. � <br /> �I C�� g�at. ¢�d.ay <br /> �$52 <br /> �+ SEWER CONNECTION CHAR ;��5 <br /> I L..! YEAR ��• 1RUNK s 2?0� � <br /> I <br /> � I_ATERAL 2.?�,�� <br /> �' TOTALCONNECTION CHARGES � <br /> I �� - <br /> SEWER PERMIT FEE � ���� <br /> :• <br /> ���� CATCH BASIN PERMIT FEf ��. � — <br /> TOTAL SE�YER PERMIT FEES 5 <br /> � <br /> ' ,��� (7) MUNTHLY SEWER CHARGFS 5 _—_ <br /> SEWER CONSTRUCTION TRU( K <br /> II LATFk '�� <br /> �LI� SEWER SERVIC[ -- <br /> APPROX LOCATION OF SID[ 5[WER OR TEE IN THE MAIN: <br /> _ CHART <br /> INFO COMPILED �Y: _ <br /> DATE -- <br /> DATE .— <br /> APPROVAL — <br /> 5 04 <br />