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J <br />BUILDING <br />PERMIT IRiFQRINATlON <br />ADDRE55 �v'! � `�`����t `�U�. TYPE <br />(�) BUILDING PERMIT FEE $ IL!%�� � <br />(A) PLAn CHECK FEE �n� �� <br />(2) PLUMBING <br />s�S��— <br />(3) MECHANICAL 5 � <br />� a✓ <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE ��� <br />(A) TO BE DETERMINED BY BLDG W�PECTOR _ ��� INCH I� � <br />(B) EXIST. WAl'ER SERVICE, APPLICATION NO. <br />(Ci APPROX. LOCATION <br />CHART <br />(5) DRIVEWAI' PERMIT TO E3[ PAID PRIOR TO BUILDING PERMIT IS- <br />�— CL. <br />SUAf�CE FEET _ DRN[�NAY(TYPE) S <br />S �� c���. ----- <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICT _ FOOTAGE %i�f�'Ti'��lUf1 <br />N, 5, E, W <br />NOTES <br />f I"! I-� 5 f�.X'��`�+� �i aC� � <br />�J(' ��IaLI Q= <br />�33y�--I � <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECT!OiJ C�IARGES <br />SEWER PERMIT FEE <br />CATCH [3ASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHI.Y SEWER CHARGES: <br />SEWER CONSTRUCTIUN <br />SEWER SERVICE <br />S <br />S <br />S -� � <br />�� V� <br />S <br />TRUCK $ <br />LATERAL <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFOCOMPILED BY': <br />APPROVAL: <br />ner <br />CHART <br />DATE <br />vATE <br />