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�� <br /> , <br /> ,- ; <br /> �i:,�'I �,�,��1Lf� 1 <br /> ... \�{:l�� . 4 <br /> BUILDING PERMIT INFORMATION � i <br /> �� <br /> � � <br /> � � o� �� � � ' <br /> : <br /> ADDRESS � TYPE � <br /> (�) BUILDINC PERMIT FEE $ ��� � <br /> . <br /> (A) PLAN CHECK FEE — ; <br /> (2) PLUMBING —S� t <br /> (3) MECHANICAL ' <br /> �,.,/� S <br /> {4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PER 'fI�T�ISSUANCE _.�.L_—_ ; <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR �'[� INCH f � � � <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. � � <br /> (C) APPROX. LOCATION . � <br /> � <br /> CHART t <br /> � t <br /> (5) DRIVEWAY PERMIT TO BE PAID °RIOR TO BUILDING PERMIT IS- n'� J ( <br /> SUANCE fEET DRIVEWAY(TYPE) S �'E� ; : <br /> $ i <br /> _ � <br /> (7) STATUS OF SEWER CHARGES: � <br /> BOND DISTRICT FOOTAGE y <br /> N, S, E, W � <br /> NOTES : � <br /> 1 ('? I�� G� l,l�� �� � � <br /> �.uc2� �- <br /> BIa � � <br /> � <br /> ., <br /> ; <br /> � <br /> ;. <br /> � i <br /> SEWER CONNECTION CHARGES C, <br /> � <br /> YEAR TRUNK 3 ��.� � <br /> � <br /> �— i <br /> LATERAL " <br /> TOTAL CONNECTION CHARGES $ �� ;< <br /> � ��� '� <br /> SEWER PERMIT FEE ` <br /> � <br /> CATCH BASIN PERMIT FEE — <br /> TOTAL SEWER PERMIT FEES $ �� 1d <br /> J.I <br /> (7) MONTHLY SEWER CHARGES: :, <br /> SEWER CONSTRUCTION TRUCK � !. <br /> LATERAL : <br /> � <br /> SEWER SERVICE �, <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: — ;' <br /> �,. <br /> e4 <br /> CHART t <br /> ; <br /> INFO COMPILED BY: _ <br /> _ DATE � <br /> APPROVAL: <br /> _ DATE '�r� <br /> � <br /> �q <br /> t, <br /> ��i; <br /> 1; <br /> l!�! <br /> 5 84 `(� <br /> i <br />