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BUILDING PERMIT INFORNtATIOW <br />ADDRE55 �9�I�.�I Glnl.�R�l�UE� TYPE�,��nr; �'I:ir,• �rt;, <br />(1) BUILDING PERMIT FEE tt�••2,5(�'U '0`� E ='' ?.`) � <br />(A) PLAN CHECK FEE ' ' � ' <br />(21 PLJMBING �� `� . O� 1 <br />(3) MECHAN�CAL '�� � � — <br />(4) WATER SER', iCE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />�:�,"> 'lU <br />(A) TO BE DETERMINED BY I3LDG INSPECTOR INCH <br />(B) EXIST. WATER SERVICE, P.°PLICATION NO. __ <br />(C) APPROX. LOCATION <br />CHART <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUII.DING PERMIT IS- <br />SUANCE FEET DRIVEWAY(TYPE) S � n�� <br />i <br />(7) STATUS OF SEWER CHARGES: <br />BOND -� � " DISTRICT <br />NOTES <br />�.�,--'C_r.11'_'�._ l_.A'C��la;l't� ��, <br />�� r.' ,.� I I N;t3��; " <br />�� . (7 ��7 � �C)�� <br />::.1:1 � R.:•Yl.. �.'1 l , l� b <br />��,, J,� .nc� <br />FOOTAG[ <br />N, S, E, W <br />SEWER CONNECTION CHARGES <br />YEAR �� �O TRUNK i :':�/�'r1f 1 <br />LATERAL ' ���''n �r� � � � <br />TOTAL CONNECTION CHARGES S � j���'�� �� <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />E .;f-). �) � ) <br />$ =�.r�, �� �_� <br />TRUCK � <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED �Y: <br />APPROVAL: <br />5 6a <br />CHART <br />DATE <br />DATE <br />