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c....., �.,, 1 <br />BUILDING PERMIT INFORMATION <br />ADDRESS TYPEt- <br />(1) BUILDING PERMIT FEE "'r-SVC,000. are $ 20toQ.50 <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL _— <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDG INSPECTOR INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION <br />CHART <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE FEET DRIVEWAY (TYPE) $ <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICT <br />NOTES <br />C' c- mac l j�_ t.- (I . r, 1-1-1 <br />Aso <br />FOOTAGE <br />N, S, E, W <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />$ <br />SEWER PERMIT FEE $ <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES $ <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION TRUCK $ <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />CHART <br />INFO COMPILED BY: _ DATE <br />APPROVAL: DATE <br />5.84 <br />