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n <br />ADDRESS <br />BUILDING DEPARITW T <br />BUILDING PERMIT SNLUI2�1�'fION <br />TYPE C CD A-./ ^ov <br />1) BUILDING PEP14IT FEE _ �. $ 2+ �' �C, <br />(A) PLAN CHECK FEE ECG 0 f_�.kw L <br />2) PLUMBING 3L/. o o <br />3) MECHANICAL V 3 Z />' on <br />4) WATE.R SERVICE TO BE PAID PRIOR TO BUILDINr PERMIT ISSUANCE Va <br />(A) TO BE DETERMIIICI BY PLBG INSPBMOR I INCH PAC t-)Lr. <br />(B) EXIST. PTATER SERVICE, APPLICATION NO. 5tr- <br />(C) APPROX. LOCAT.'ICN �O ' ' %> . A t✓ F' L' (-Li- 1 S j.�- '( <br />CHART UJ ((D - <br />5) DRIVE AY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />( PELT /gal=yY. j D/W (TYPE) $ , <br />6) STATUS OP SEWER CHARGES: <br />BOND "-r DISTRICT FODTAGE <br />N, S, E, W. <br />NOTES <br />SLWL.R CONNECTION CRNGES <br />YEAR - TRUNK <br />LATERAL <br />TOTAL CONNECPION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SLYIER PERMIT PEES <br />7) MONTHLY SEd9ER CHARGES: <br />$ loo (Do <br />-�,ri O • O O <br />$ cG�.av <br />- o <br />SEWER C.ONSTRU01ION: TRUNK <br />LATERAL <br />SWER SERVICE f::✓ <br />APPROh ILCATION OF SIDE SWER OR TEE IN THE MAIN: c <br />GiARrN--1 L.-ZE-', <br />INFO C(kPILED BY: aNTE <br />APPROVAL: nn'PE <br />