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. � • �,;: <br />r,, � }`,�_ <br />4. ��� <br />�UILDING PERMIT INFORMATI�N <br />ADDRESS _—�c�S ��Lf� /� TYPE • :�, <br />(1) BUILDING PERMIT FEE $ 'T� r7� S0 ;?. <br />(A) PLAN CHECK fEE ' " � % � <br />(2) PLUMBING ., ' . ' '`�. <br />� . . •.. <br />(3) MECHANICAL i <br />(4) WATER SERVICE 1'O 8E PAID PRIOR TO BUILDING PERMIT ISSUANCE (OSQ� '' �° <br />(A) TO BE DETERMINED BY BLDG INSPECTOR 3 ��� ' INCH •• �'•'' � '"�'4 �' �' � , <br />(B) EXIST. WATFR SERVICE, APPLICATION NO. '' <br />(C) APPROX. LOCATION ',,� <br />CHART _ ; <br />(�) DRIVEWAY PFRN�IT TO BE PAID PRIOR TO BUILDING PERMIT, IS-!.•,., t,•� •` '• �,j• � <br />;. <br />SUANCE FEET DRIVEWAY(TYPE). S , � <br />. <br />b " <br />p) STATUS OF SEWER CHARGES: <br />BOND �DISTRICT FOOTAGE � <br />N, S, E, W <br />NOTES <br />�rr�- I l� CS- <br />S Cjo , g� <br />w�' :-� , � <br />5�.87 <br />�uo(�;f' a <br />S �J�- ext, Qe.o�� <br />RS2,�'7 <br />�Lt� P0 /vKr �' <br />S�lwie sr,U��e <br />, . . ��t-. . ,3.` <br />ZC7 g'�/ :S <br />. sso. <br />�5 or�.. <br />.' � 1 <br />� <br />_ `. <br />,; <br />.: � <br />i <br />, � ;' <br />_.� P <br />"C'o�.r1� o� : �. , . : :. <br />9. � 7 x 1 yU =�� 353, �� , <br />o,.�c� _ � �, �l so.v� �� <br />SEWER CONNEC ION CHARGES ,: ,, � <br />YEAR TRUNK S � � o� —� � � % - <br />�ATERAL �� S�r s8��'w '� <br />, .. <br />TOTAL CONNECTION CHARGES S ' � � <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />;7) hIONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />TRUCK <br />LATERAL ` <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />I/B] <br />S ��� <br />'� <br />S � <br />E? <br />CHART <br />DATE <br />DATE <br />,. <br />�.: <br />; <br />1 <br />I'' <br />