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� � <br /> BUILDING PERMIT INFORMATION <br /> ADDRESS TYPE <br /> (1) BUILDING PERMIT FEE � <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBINC <br /> (3) MECHANICAL <br /> (4j WATER SERVICE TO BE PAID PRIOR TO BUILJIN(; PERMIT ISSUANCE • <br /> (A) TO BE DETERMINED BY BLDG iNSPECTOR _ INCH <br /> (B) EXIST. _ WATER SERVICE, APf'LICATION NO. <br /> (C) APPROX. LOCATION �, <br /> CHART <br /> (5) DRIVEWAY PERMIT TO Pc PAI,r3 PRIOR TO BUILDING PERMIT IS- <br /> SUANf_E fEET _DRIVEWAY (TYPEJ S <br /> b <br /> (7) STATUS Of SEWER CHARGcS: <br /> BOND DISTRICT FOOTAGE <br /> N, 5, E, W / <br /> NOTES /�y 32" � �� <br /> � "w a�i� S.O. 7 79l0 <br /> ��) <br /> _- �-u���v -70.c�d <br /> SEWER CONNF.CTION CHARGES <br /> YEAR TRUNK S –�7�� <br /> LATERAL 3�'r <br /> ��� <br /> TOTAL CONNECTION CHARGES b _ <br /> SEWER PERMIT FEE S �Z� — <br /> CATCH BASIN PERMIT FEE �/ ,'���7 <br /> TOTAL SEWER PERMIT FEES b �-�7 � / <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRIICTION TRUCK s <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 /> ��a; <br />