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ADDRESS 19�� �`��� '�vE TYPE COMM � <br /> Bo $ �/2. vb <br /> {1) BUILDING PERMIT FEE 25V D��' — 4 S ?S -�u� <br /> (A) PLAN CHECf: FEE �— <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSU INCH <br /> (q) ;O BE DETERMINED BY BLDG INSPECTOR <br /> (B) EXIST. WATER SERVIC�, APPLICATION NO. <br /> (C) APPROX. LOCATION <br /> CHART <br /> (5) DRIVEWAY PE[:MIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br /> 8 . � Z� <br /> SUANCE � � FEET GD w DRIVEWAY(TYPE) S <br /> , <br /> , $ �/ �i . LS <br /> '� �-Sl�l Z� <br /> (7) STATUS OF SEWER Lh�ARGES: 'n� r/7,��,f� <br /> BQND DISTRICT FOOTAGE <br /> N, S, E, W <br /> NOTES <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK � n�� ��a'=N � <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PERMIT FEE $ <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES $ <br /> (7) MONTHLY SEWER CHARGES: TRUCK $ <br /> SEWER ('ONSTRUCTION <br /> LAT[RAL <br /> SEWER S�RVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> _ CHART <br /> DATE <br /> INFO COMPILED BY: DATE <br /> APPROVAL: <br /> 9-1•79 <br />