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tL����.� �t <br />�:i:.� <br />BUILDINC PEt�MtT INFORMATION <br />ADDRE55 S//O ,�Ov �� � TYPE �` "`�u� �.t,rl�� <br />(1) BUILDING PERMIT FFE �T tP�STJO� � E (�'Z(E,- [90 <br />(A) PLAN CHECK FEE �PrJ,'�"'� �� <br />(2) PLUMBINC (y�,pC �=-g�- <br />(3) MECHANICAL z (e.1 �� <br />(4) �NATf:R SERV!CE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE �-�'O• fJ� <br />(A) TO BE DETERMINED BY BLDG INSPECTOR INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION <br />CHART <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SiJANCE FEET DRIVEWAY(TYPE) S <br />3 <br />(7) STATUS OF SEWER CHARGES: <br />BOND � DISTRICT <br />NOTES <br />��A� '�'�g Oe� <br />Ll�l—SS"' <br />�z o ��� <br />224• � <br />FOOTACE <br />N, 5, E, W <br />20 • vc� <br />SEWER CONN�CTION CHARCES <br />YEAR 4 TRUNK 5 ��h`j <br />LATERAL �� �n�`� <br />TOTAL CONNECTION CHARGES S — <br />SEWER PERMIT FEE 3 ��'�� <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES E_ <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />TRUCK 5 <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED DY: <br />APPROVAL: <br />s ea <br />CHART <br />DA'f E <br />DATE <br />e <br />G <br />q <br />