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r , •,•, <br />;�.:,� �u�.,•; <br />� r: �� <br />BUIL�ING P�RMIT INFORMATiON <br />ADDRESS / /J S�Qli� � �� ( L�I �� - �[ff TYPE _ <br />(1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDINC PERM T�ISSUANCE <br />(A) TO BE UETERMINED fiY BLUG INSPECTOR INCH <br />(B) EXIST. _.— WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION _ <br />CHART <br />(5) DRI\/E�VAY PERMIT TO BE PAID PRIOii TO BUILDING PERMIT IS- n^\ Qp �- <br />" SUANCE FEET DRIVEWAY(TYPE) $ o�U� _. <br />` b <br />(7) STATUS OF SEl.NER CHARGES: � , �� <br />BONQ y.DISTRICT FOOTACE ��% <br />N, S, E, WO <br />NOTES <br />l ) � �-35 �� JCn I � <br />�Q.l1JPl�, Cp$�5 �" <br />G � <br />SEWER CONNECTION CHARCES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARCES <br />SEWrR PERMI� FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />p) MOhTHLY SEWER CHARCES: <br />SEWER CONSTRUCTION <br />SEWER SERVICE <br />$ �3a 3g <br />��9�� <br />$ �a4 �b <br />TRUCK b <br />LATERAL <br />APPROX LOCATION OF SIDE SEV1iER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />riet <br />CHART <br />DATE <br />DATE <br />�r �� <br />. .. r <br />