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Mo: � <br /> ,�. . <br /> ,�, � . .....� <br /> BUILDING PERMIT INFORMATION r <br /> � � � ADDRE55 � Rir� � � �'fh�� � �� � _TYPE <br /> �� � � <br /> � (1) BUILDING PERMIT fEE S 1 �i 1�• OG <br /> o � 377 GS_ <br /> ��y (A) PLAN CHECK FEE <br /> �., (21 PLUMBING � 7�� <br /> ��� (3) MECHANICAL ��� <br /> y (4) WATER SERVICE TO UE PAID PRIOR TO BUILDING PERMIT ISSUANCE Lr�p �'' r.' <br /> , �<<� <br /> � �� (A) TO BE DETERMINED BY BIDG INSPECTOR `.�_�— INCH ��.� i <br /> (B1 EXIST. WATER SERVICE, APPLICATION NO. ' '�+s'.. <br /> O H ' M <br /> � t�a g (C) APPROX. LOCATION �r.�n, <br /> c� o �* ; <br /> >H� '' ��,s' C' <br /> ty _CHART ` 't �' <br /> H �� . <br /> gwy (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- • <br /> � SUANCE FEET DRIVEWAY(TYPE) S �ti�- <br /> � _ — , <br /> � s ` �� . <br /> � �f. <br /> N rr <br /> (7) STATUS OF $EWFR.CHARGES: ; <br /> BOND ��o�I�+E�^'� _ JISTRICT FOOTAGE <br /> N, 5, E, W , I,, <br /> NOTES <br /> C �d inr- � s <br /> Wm (-4 � l, 0 35 <br /> 5ewer �d 7a � <br /> ,...,\ 3, ��2 <br /> `� <br /> 1 SEWER CONNECTION CHARGES P�e.h�? � <br /> C� YEAR TRUNK 5 �'�/�'� <br /> LATERAL <br /> TOTAL CONNECTION CHARGES b • <br /> �<;" <br /> �� <br /> � � SEWER PERMIT fEE S 3�i `�� � �'��` <br /> i �I � CATCH BA�IN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES 5 : ; <br /> I `��� (7) MONTHLY SEWER CNARGES: <br /> � SEWER CONSTRUCTION TRUCK 5 <br /> LATERAL <br /> I�I� SEWER SERVICE <br /> APPROX LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> �`�" i, i' <br /> +� INFO COMPILED BY. DATE <br />'���° j APPROVAL: DATE <br /> �� <br /> , � <br /> � i ., <br /> �"r�7 ,.,' � <br /> �� <br /> ,�r <br /> �.� �5� 5�84 <br /> f U.,� . <br /> r` !i? - <br />,.�'a�'.'t�... .., _ _ . <br />