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, : •. i <br />'c.. <br />[iUILDING PERIIAIT INFORMATIOW <br />�1DDRESS � 'S • TYPE S«+4�.E. 1-/��+ut.Y ��j <br />(1) BUILDING PERMIT fEE 9' �"j� �Q�.� b�?• 0� <br />�(A) PLAN CHECK FEE _ �-�''C�•� <br />� j PLUMBINC 7��•�� <br />(3) MECHANICAL �S�Da <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE LoD •�Sd <br />(A) TO BE DETERMINED BY BLDG INSPECTOR INCH <br />(B) EXIST. WATER SERVICE, ".PPLICATION NO. <br />(C) APPROX. LOCATION <br />CHART_ <br />(5) DRIVEWAY PERMIT TO•B[ PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE FEET DRIVEWAY(TYPE) S �•�� <br />3 <br />(7) STATUS OE SEWER CHARGES: <br />BOND -� _ DISTRICT <br />NOTES <br />S�,t�, t�u�� � <br />�� �r��- Ss <br />!�2 �% �22�. oc� <br />0 <br />FOOTAGE <br />N, S, E, W <br />SEWER CONNECTION CH.ARGES <br />YEAR �7 TRUNK 3 �pT <br />LATERAL �� �'�'� <br />TOTAL CONNECTION CHARGES b ��7��8-`�^ <br />SE�VER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEFS <br />(') MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />TRUCK b <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFOCOMPILED BY: <br />APPROVAL: <br />r,er <br />CHART <br />DATE <br />DATE <br />