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. ' `� ��+i.-"J <br />BUILDING PERMIT INFORMATION <br />ADDRE55 TYP ��1+, <br />(1) BUILDING PERMIT FEE 29D� �• S ���. b <br />(A) PLAN CHECK FEE Pf� '� �YDbOri <br />(2) PLUMBING � ����� � � <br />(3) MECHANICAL ��� <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERIyJT ISSUANCE L�O.OD _. <br />(A) TO dE DETERMINED BY BLDG INSPECTOR Z _ INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION <br />CHART <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE FEET DRIVEWAY(TYPE) S <br />5 <br />(7) STATUS OF SEWER CHARGES: <br />BGND � DISTRICT <br />NOTES <br />S �� �� �-.�.-r�� � �{ � <br />r�rz.-� <br />yy o <br />�"u�2 <br />t �7�- gs- <br />� l �i9, �1 <br />s2s, o <br />�s'-TZ4 .2�- <br />FOOTAGE <br />N, S, E, W <br />SEWER CONN[CTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CA7CH BASIN PERMIIT FEE <br />TOTAL SEWER PERMIT FF.ES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />•� . „ <br />c. �.r� �..j� <br />�7//�'� <br />g ��a <br />-_, <br />S c���� <br />TRUCK $ <br />LATERAL <br />SEWFR SERVICE <br />APPROX. LOCATlON OF SIDE SEWER OR TEC IN THE MAIN: <br />., <br />INFO COMPILED BY: <br />APPROVAL: <br />�ie� <br />CHART <br />UATE <br />DATE <br />