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�� ,J �� <br /> ; � �lILDING PERMIT INFO(�M,ATION <br /> � <br /> ; <br /> i <br /> � <br /> ; � lOZ <br /> i ADDRE55 X�Y Juniper Dr. Everett, w�� �a203 TYPE <br /> I � —�Q�•�_ <br /> � (1) BUILDING PERMIT FEE <br /> (A) PLAN CHECK FFE '� `�5�' 40 - �i ZZ•Sc� � � • yn <br /> �� tr0 _ <br /> (2) PLUMBINC — �a M� <br /> (3) MECHANICAL <br /> (4) WATER SERVICE TO BE PA:D PRIOR TO BUILDING PERM�I�T)SISUANCE �/�� � <br /> (A) TO BE DE•�ERMINED BY BLDG INSPECTOR � INCH <br /> (BJ EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION <br /> CHART <br /> (5) DRiVEWAY FERMIT TO BE PAID PRIOR TO BUILDING PERM17 IS- � <br /> SUAVCE FEET DRIVEWAY(TYPE) � �n� - <br /> � <br /> S — <br /> 1 p) STATUS OF SEWER CHARGES: <br /> ; BOND T DISTRICT _ FOOTAGE <br /> , N, S, E, W <br /> NOTES <br /> �,l��- ( � 7(- <S� <br /> � a <br /> ' Sew-�n ��f p0 �� � <br /> ; �.f3 � <br /> i <br /> f <br /> + SEWER CONNECTION CHARGES � <br /> YEAR TRUNK $ ��� <br /> : LATERAL <br /> ': TOTAL CONNECTION CHARGES $ _�� <br /> � <br /> � 30�- <br /> SEWER PERMIT FEE � — <br /> CATCH BASIN PERMIT FEE <br /> ? TOTAL SEWER PERMIT FEES $ — <br /> i' (7) MONTHLY SEWER CHARGES: <br /> ! SEWER CONSTRUCTION TRUCK b — <br /> � LATERAL <br /> ' SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> i CHART -- <br /> i <br /> INFO COMPILED BY: DATE <br /> DATE <br /> APPRUVAL: _ <br /> 5�BJ <br />