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<br /> . BUILDI 'f�G PERMIT INFORMATION ' °' ��
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<br /> � ADDRESS IGL�U ��;1�C�K�"� � i'( f
<br /> TYPE Si►.stst.� �'e�r�ni�Y �5 .. p �
<br /> (1) BUILDING PERMIT FEE �(Sp�b(�D. � 3 8/¢.!Sp : •;,, ;,;�i �
<br /> (A) PLAN CHECK FEE ' ' �. ' Jbp. ,'«� 4os`99 �.,:�'.I:. S,
<br /> (2) PLUMBING � , � ' S5. [�D . , ,.,i`i;� I1
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<br /> (3) MECHANICAL, , �Q ./'l �p; �_ ; � � ;.
<br /> (4j WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE �_ �?O.DZ� ` -'` •� '��i;' ''`
<br /> (A) TO BE DETERMINED BY BLDG INSPECTOR - � INCH , - ,.,�j, `c
<br /> (B) EXIST. WATER SERVICE, APPUCATIUN NO . ,' • ' � ' I �� I�
<br /> (C) APPROX. LOCATION '`�, '' .�i' y
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<br /> CHART � ' "' �' '�! "• I;�
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<br /> (5) DRIVEWAY PERNiIT TO 9E PAID PRIOR TU BUILDING PERMIT IS- � �•�: . !,,; ��ii� �s
<br /> � SUIINCE FEET URIVFWAY(TYF�1 S 2�-�D � ����� ��
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<br /> � (7)� STATUS OF SEWER CHARCES: . ;' ' I�� ��
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<br /> BOND �DISTRICT FOOTACE - ; • ��
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<br /> i '. NOTES ' ' , , :1
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<br /> SEWER CONNECTION CHARCES ' "' ',
<br /> YEAR �� TRUNK S 27O' �D ' w ,'
<br /> LATERAL ' " �
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<br /> ' TOTAL CONNECTION CHARGES 3 •2�D.F� �
<br /> , SEWER PERMIT FEE S �'�� �� � ' >
<br /> CATCH BASIN PERMIT FEE ' •
<br /> TOTAL SEWER PERMIT FEES 3 �•�� ` ' "
<br /> (') MONTHLY SEWER CHARGES: ""
<br /> SEWER CONSTRUCTION TRUCK S �
<br /> LATERAL " ' �'
<br /> I �� SEWER SERVICE � , �;:�� :
<br /> APPROX. LOCATION'OF SIDE SEWER OR TEE IN THE lv1AIN�
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<br /> CHART � �
<br /> INFOCOMPILEDBY: DATE '� '� !
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<br /> APPROVAL: DATE i
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