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V -. <br />1 <br />BUILDING PERMIT INFOR�VIATION <br />ADDRE55 TYPE �D�-/lME7zG`,Ir�c,� <br />(1) BUILDINC PERMIT fEE �G��i 2��� �S�+t�J- �ti�Y� E �0�7. Sa <br />(A) PLAN CHECK FEE PD �� SOZ'!,� <br />(2) PLUMBING <br />(3) MfCHANICAL <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO 8E DETERfv11NED BY BLDG INSPECTOR � INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION <br />CHART <br />(5) DRIVEVJ.AY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE _ FEET DRIVEWAY(TYPE) 3 <br />S <br />(7) STATUS OF SEWER CHARCCS: <br />BUND �� DISTRICT <br />NOTES <br />hP��� u-rr��r� �' <br />a,¢.� /�7i-gs <br />�� o - �i13.a9 <br />�-w� - 2 9B.qs� <br />�P��s� uno� <br />' �2 Q�fit � b <br />'�-,� �ti1l�G'z�!nc�5� i <br />fOOTACE 2 �ari <br />� S, E, W <br />�OSD, <br />SEWER CONNECTION CHARGES <br />YEAR � �P TRUNK 3 � f83• � � <br />LATERAL ��" � � ' � � <br />TOTAL CONNECTION CHARGES E 2l�Dl. 'Z 3 <br />SEWER PERMIT FEE 5 � �' �a <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES b `�''O'�� <br />p) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />TRUCK 3 <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />F9cL•1 <br />� <br />CHART <br />DATE <br />DATE <br />� <br />