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4_.�TMlNT OF COMMtI1�11Tr oEYELO�NR.IT fERVIGEf � <br /> BUILDING PERMIT INFORMATION <br /> ADDRESS ��0 � Ke w �� TYPE <br /> (1) BUILDINC PERMIT FEE s � <br /> (I1) PLAN CHECK FEE i <br /> `i (2) PLUMBINC I <br /> (3) MECHANICAL <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDINC PERMIT ISSUANCE <br /> (A) TO BE DETERMINED BY BLDC INSPECTOR INCH <br /> I (8) EXIST. WATER SERVICE, APPUCATION NO. <br /> , <br /> i (C) APPROX. LOCATION <br /> � <br /> � <br /> , __ � CHART � <br /> _�i : ' (S) DRIVEW/1Y PERMIT TO BE Po11D PRIOR TO BUILDING PERMIT IS- <br /> '� SUANCE FEET DRIVEWAY(TYPE) i <br /> i,,'. . �4, i — <br /> j,a`r, . . ?�� � ., � . <br /> �:.{;;:; . � - ., <br /> �,..�;; r : -° (� ST11TU5 OFSEWER CHARCES: <br /> a'���°'' `� BOND DISTRICT FOOTAGE <br /> ^��c�z� ;�.: . N 5 E W <br /> .,. ��,.,,� �:: '' <br /> � NOTES <br /> �� n,��:a��'' <br /> ,r <br /> � <br /> �� ' ' � _.. <br /> � ;:_� ,, <br /> '* . _ . <br /> '� _ ._ <br /> SEWER CONNECTIOt� CHARCES <br /> � YEAR TRUNK S <br /> ; - -- LATERAL � <br /> � TOTAL CONNECTION CHARCES i — I <br /> ; <br /> � <br /> � <br /> a� i <br /> �� > : �?; SEWER PERMIT FEE : I, <br /> '' ` k5 -: CATCH BASIN PE1tMIT �EE <br /> ;y. � � �„�;:; TOTAL SEWER PERMIT FEES S I <br /> '���1 ` Y� Y,`�`' (n MONTHLY SEWER CMARGES: ' ' <br /> � SEWER CONSTRUCTION TRUCK : � <br /> � �, O ."; 1 <br /> ,, �. �' r` � LATERAL I <br /> +. . *, � SEWER SERVICE <br /> � � /1PPROX. LOCATION OF SIDE SEWER OR TEE IN THE MI11N: I <br /> , <br /> .,,.,.� �� � CHART I <br /> Y . ! <br /> �� � � � <br /> i �: <br /> `•�• ' � INFOCOMPIIEDBY: DATE ; <br /> � '";"� � ' DATE <br /> ; <br /> APPROVAL: <br /> ' �� <br /> . . �.'f�"Y:'Yi. <br /> ' �. <br /> ��•� <br />