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JG <br />BUILDING PERMIT �NFORMATION <br />ADDRESS 3��L �Q� Q v� TYPE S�e- <br />(1) BUILDING PERMIT FEE (,�,,,ZQ�. � S ��3• � v <br />(A) PLAN CHECK FEE �' � �� <br />(2) PLUMBING 20-� O <br />(3) MECHANICAL g-�� <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE � <br />(A) TO 8E DETERMINED BY BLDG INSPECTOR � INCH �O •� <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX.LOCATION������ �nrt�ov IS` ►-1 o� �. BP <br />..�� P��.APPRBr �� �M. Sw Gop. (,ei <br />��-tU.�uJ�. S'L�t3tti CHART S - S% <br />(5) DRIV�WAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE �`� FEET %-SQL�ic1t�'� DRIVEWAY (TYPE) $ 7• �� <br />S �- <br />2(a�4 � So <br />(7) STATUS OF SEWEP CHARGES. <br />:• � <br />NOTES <br />DISTRICT <br />�F�I�G �waP� �id-A�2LtCS <br />��� � <br />�� ��S -8� <br />���,r�v <br />FOOTAGE �`-� <br />N, S, E, W <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />!�i�:7:i� <br />TOTAL CONNECTION CHARGES <br />i�0'!� <br />SEWER PERMIT FEE � 3/3I �� � <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />SEWER SERVICE <br />S <br />5 <br />a �J��.�D <br />TRUCK S <br />LATERAL <br />S. �� <br />"". - an��u � e� �.e.r <br />INFO COMPILED BY: <br />APPROVAL: <br />CHART � ' 9� �Z�('�� <br />DATE <br />DATE <br />94-79 <br />.. . �. . ��"�Y,s. �.. �.- .... ., . .—.M�.. <br />