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�. ; <br /> gU1LQING PERMIT INFORlNATION <br /> ADDRESS �����i5n� 7YPE <br /> (1) 6UILDING PERMIT FEE ��� /�� �a $ ��Oa � <br /> (A) PLAN CHECK FEE a 35• G � - ��`� h d —��'Z.z�' <br /> �� <br /> (1) PLUMBING ! <br /> c��$ s , <br /> (_�) MECHANICAL ' <br /> (q) WATER SERVICE TO BE PAID PRIOR TO BUILDING P�E M�� ISSUANCE ��Q— <br /> (A) TO BE DETERMINED BY E3LDG INSPECTUR INCH , <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. - <br /> (C) APPROX. LOCATION <br /> CHART <br /> (5) DRIVEW.AY PERMIT TO B[ PAID PRIOR TO BUILDING PERMIT IS- � pD <br /> SUANCE FEET DRIVEWAY(TYPE) S �� •- <br /> g ___.�. <br /> i. <br /> (7) STATUS OF SEWER CHARGES: ;; <br /> E30ND DISTRICT FOOTAGE <br /> N, 5, E, VV <br /> �: <br /> NOTES <br /> l l�l I -`�5 I��a� ' <br /> .L)� <br /> ��a � ; <br /> SEWER CONNECTION CHARGES � pp <br /> YEAR _ TRUNK � �1' �-r— <br /> LATERA� V���n� <br /> TOTAL CONNECTION CHARGES g ����_ <br /> � <br /> SEWER PERMiT FEE $ <br /> �� <br /> CATCH BASIN PERMIT FEE ��'�-- <br /> TOTAL SEWER PERMIT FEES $ __ " -" --_ <br /> (7) MONTHLY SEWER CHARGES: g <br /> SEWER CONSI"RUCTION TRUCK - - <br /> LATERAL - ! <br /> SEWER SER ✓ICE - " <br /> APPROX. LOCATIdN OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> � DATE <br /> INFO COMPILED 8Y: ' <br /> DATE � <br /> APPROVAL: <br /> i <br /> i <br /> � <br /> �. <br /> � <br /> ]/8I <br />