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... :� , .. _. <br /> :; <br /> BUILDING PERMIT INFORMATION <br /> �DDRE55 �� I7 L/:14c�A�.Ca ��� TYPE S�'�+4c�� �c.Y Lt'S <br /> (1) BUILDINC PERMIT FEE �SZ'�OOb •� 5 253. �a <br /> (A) PLAN CHECK FEE PO. � '2`TCJRlo <br /> (2) PLUM6ING � " � <br /> (3) MECHANICAL 9-Sv <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERM T ISSUANCE ��' � <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR 3� INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION � M��� �P�Bx /D � S d-� <br /> � D� �I.t� _CHART �' '�5- Z�" �' <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br /> SU�NCE FEET DRIVEWAY(TYPE) S 2D. UU <br /> 5 <br /> i <br /> (7) STATUS OF SEWER CHARGES: � <br /> BOND � DISTRICT FOI�TAGE � <br /> N, S, E, W <br /> NOTES <br /> SP�lAG SB.c� � ' <br /> 02 0 <br /> ����-85� <br /> ,�1ya � 22Q. � <br /> 5r�� �' S84. °�' <br /> �� 'n <br /> SEWER CONNECTION CHARCES <br /> YEAR 8'� TRUNK S Z� � " � � <br /> LATERAL �� ��� <br /> TOTAL CONNECTION CHARCES S � Z� ' �� <br /> SEWER PERMIT FEE s 3�- �0 <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES S -3�" � <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK 5 <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: 8� ���� � UF <br /> �w � Lh � -co t'1� An. R.eY t3c� F�- � �� M. �J. 3 <br /> CHART C�- 35 'Z9' `i-' <br /> INFO COMPILED 8Y: DAT[ <br /> APPROVAL: _ DATE <br /> s•ea <br />