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i'� � <br /> . .. 1 1 <br /> ; <br /> BUILDING PERMIT INFORMATION � <br /> `�+_ _� � <br /> ADDRESS �3�'�"J �' ��T� �A'Y TYPF �V�u�` �^'�Lir � ' <br /> (1) BUILDING PERMIT FEE lOd�t�t90• � S �3q•t"D � <br /> (A) PLAN CHECK FEE I�7� � ! y; <br /> (2) PLUMBING � �TO. 00 j. <br /> (3) MECHANICAL .37 ���'Z��-' �: <br /> (4j WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE �DD•�U � <br /> (A) TO BE DETERMINED BY BLDC INSPECTOR INCH ; <br /> c <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. � <br /> (C) APPROX. LOCATION �' <br /> i <br /> . r <br /> CHART ' <br /> n <br /> (5) DRIVE�NAY PfRMIT TO BE PAID PRIOR TO BUILDINC PERMIT IS- � <br /> v. i <br /> SUANCE FEET DRIVEWAY(TYPE) S �� — ` <br /> S r <br /> t` <br /> (7) STATUS OF SEWER CHARCES: ; <br /> BOND �� DISTRICT FOOTAGE F <br /> � , � , N, 5, E. W i <br /> , <br /> NOTES <br /> : <br /> '�$dArt. t,d.'L'II,.IT'�� � ` <br /> C+�W� ' L�?l—$�� <br /> {'�j�O ZZ.�.C� . r f: <br /> r <br /> S�R+ 58�.OD . .. , ;: <br /> k <br /> S: <br /> ; 4; <br /> ^ .' SEWER COI�NECTION CHARCES <br /> YEAR �� TRUNK 3 ZZ�•BV <br /> LATERAL �! �� <br /> TOTAL CONNECTION CHARGES 5 ZZC� 'UV ��' <br /> �� C. <br /> i- <br /> . ��.Bd �, <br /> SEWER PERMIT FEE 5 i; <br /> , CATCH BASIN PERMIT FEE " <br /> � TOTAL SEWER PERMIT FEES S `��'� F <br /> E <br /> p) MONTHLY SEWER CHARGES: � <br /> SEWER CONSTRUCTION TRUCK 5 '� <br /> LATERAL <br /> SEWER SERVICE . <br /> APPROX. LOCATlON OF SIDE SEWER OR TEE IN THE MAIN: ' ' <br /> CHART <br /> i. <br /> INFO COMPILED BY: DATE : <br /> � <br /> APPROVAL: DATE � <br /> i <br /> � <br /> s•sa <br />