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(A'� � �i� <br />\'yi'l ' �Y , <br />BUILDING PERMIT INFORMATION <br />ADDRE55 TYPE _ <br />(1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANIGL <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDINC PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDC INSPECTOR INCH <br />(8) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION <br />� <br />�. <br />� <br />s 3�5, s� . : <br />�. <br />�� <br />� <br />..� <br />.,. <br />;. I <br />;; <br />� ;��� <br />' CHnRT � ,:t�ii <br />(S) pRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- ,.� <br />SUANCE FEET DRIVEWAY(TYPE) S � j <br />�' , t ` s 1 r <br />(7) STATUS OF SEWER CH�RCE�S� " ' <br />I <br />� BOND �Vr�}�_DISTRICT� FOOTACE • • ' � � <br />� ' N. S, E. W . . <br />, NOTES <br />Grr,� � hl —r S <br />�kca��, Is�o� .,.�. (, DC7s ) =�/;7g <br />' 1'Yl � a i rx � »1 ��s�. <br />55af��s)= �7vo•,�o rr�;�, <br />� 51.8o wa.G� <br />' <br />,' ;i <br />. ;. <br />; ; I'� <br />.,} <br />� . ..�, <br />55 a /�Gv�" (n .F.�o� : <br />SEWER CONNECTION CHARGES � <br />YEAR TRUNK S <br />LATERAL <br />TOTAL CONNECTION CHARGES f <br />SEWER PERMIT FEE S �IIL� <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES S <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />TRUCK S <br />LATERAL <br />SEWER SERVICE <br />nPPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />�nr <br />CH11RT <br />DATE <br />DATE <br />P <br />