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I _ _:.G� <br /> �v$t'` � _� � . , ! <br /> BUILDING PERMIT II� FORMAT'ION <br /> ADDRE55 TYPE <br /> (1) BUILDING PERMIT FEE $ — <br /> (A) PLAN CHECK FEE <br /> �r��i (2) PLUMBING <br /> �� <br /> p� (3) MECHANICAL <br /> ; � (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br /> ��� (A) TO BE DETERMINED BY BLDG INSPECTOR INCH <br /> ��� (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> �� (C) APPROX. LOCATION __ <br /> ��oM CHART <br /> Q�� (5) DRIVEWAY PERMIT TO B[ PAID PRIOR TO BUILDING PERMIf IS- <br /> SUANCE _FEET DRIVEWAY(TYPE) 4 <br /> �y� $ -- � <br /> p►-f <br /> O�M <br /> ���� (7) STATUS Of SEWER CHARGES: <br /> � � BOND DISTRICT FOOT�GE <br /> �,�, N, S, E, W <br /> m <br /> - � NOTES <br /> SP�td.� LfTlL�7y �'� I <br /> d,2� //7/- S- I <br /> r-�2 a � 3, 8 ei � <br /> ���:. 5�-u-�iz � !d, r� 9, °d <br /> ' � /� ��ER CONN�CTION CHARGES <br /> 1 ��� YEAR TRUNK S <br /> � LATERAL <br /> � TOTAL CONNECTION CHARGES $ _ <br /> I �� <br /> SEWER PERMIT FEE $ <br /> �� � CATCH BASIN PERMIT FEE <br /> ' i�' TOTAL SEWER PERMIT FEES $ <br /> (7) MONTHI.Y SEWER CHARGES: <br /> I� � ��� SEWER CONSTRUCTION TRUCK $ <br /> LATERAL <br /> o SEWER SERVICE <br /> �'� APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> I <br /> _ CHART � <br /> INFO COMPILED BY: DATE <br /> �' APPROVAL: DATE <br /> rm I <br />