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1sNGlallir'sKIPlG AND COMMUNITY Sl"ll"C" <br />BIIILDXNG PI;Rh1I`l.' INFORMATION <br />'� Q q TYPE <br />ADDRESSGam'[- �a.L.._._--• <br />• $ <br />1) BUILDING PERMIT FEE <br />(A) PLAIT ClirCK FEE $ <br />2) PLUMBING $ <br />$ <br />3) MECHANICAL <br />A) WATER SERVICE TO BE PAID BEFORE BUILDING $ <br />PrIbMIT IS ISSUED <br />(A) TO BE DETERMINED BY PLBG. INSP. INCH <br />(R) EXIST. WATER SERVICE, APPL. NO. _ <br />(C) APPROX. LOCATION — <br />CHART <br />5) DRIVEI•IAY PERMIT TO BE PAID BEFORE BUILDINNG (TYPE) $ <br />PERMIT IS ISSUED FT. <br />G) STATUS OF SERER CHARGES: TOTAL <br />BOND L�DISTRICT 3� FOOTAGE <br />N, S, L•'l Vr. <br />NOTES <br />3-3Co- t4—oL' <br />Z-00 I, <br />7) MONTHLY SEWER CHARGES: <br />SL V1:R CONSTRUCTION <br />SERER CONNECTION CHARGES <br />YEAR =7-7 TRUNK $ ZZo- 0 _ <br />CI ATE L $ <br />TOTAL ONNECTIOI,eHARGE$_ ZZ O• U <br />SI•'.'';ER <br />PERMIT FEE <br />uo <br />CATCH <br />BASIN PERMIT <br />FEE <br />TOTAL <br />SEWER PERMIT <br />FEES$_ <br />TRUNK <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SETTER OR TEE IN THE MAIN: <br />CHART <br />INFO CO-MPILED BY: <br />APPROVAL*--- <br />$ <br />$ i <br />$ Z. so <br />