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BUILDING PERMIT INFORMATION <br />ADDRE55 S�' ���z ST TYPESt�Cic.� �MiLY Q�'� <br />(1) BUILDING PERMIT FEE �"ZSj �p.�—' S SZ7• Dv <br />(A) PLAN CHECK FEE T?CJ � 4o�3a <br />(2) PLUMBING � S ` `�� <br />(3) MECHANICAL �Z���=� <br />(4) WATF.R SERVICE TO BE PAID PRIOR TO BUILDINC PERMIT ISSUANCE _ �-�•� � <br />(A) TO BE DE'i ERMINED BY BLDG INSPECTOR INCH <br />(B) EXIST. WATER SERVICE, APPLICA710N NO. <br />(C) APPROX. LOCATION <br />CHART <br />(5) �RIVEWAY PERMIT TO DE PAID PRIOR TO BUILDING PER1�11T IS- <br />SUP.NCE _FEFT DRIVEWAY(TYPE) 5 2'0'�� � � <br />S _ <br />(7) STATUS OF SEWER CHARGES: <br />BOND � DISTRICT <br />� <br />� NOTES ` " <br />S'C–�t.cA� ta,–n1,C71(' `�� <br />cJ2�.� I.l'il-�i�. <br />�+�c7 �22�I.o� <br />FOOTAGE . <br />N, <br />5, E, W <br />SEWER CONNECTION CHARGES <br />YEAR g� TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />� �, . <br />�__ _ <br />ai � ► <br />S �_6�"� <br />.� <br />TRUCK 5 <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATI�N OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILEU BY: <br />APPROVAL: __ <br />S�B4 q�� <br />r�- <br />CHART <br />DATE <br />DATE <br />