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�;-. ; <br />,, ,;s. <br />P•�\ <br />at.,.a <br />�,.� <br />BUILDING PERMIT INFORMATION <br />;, <br />,, <br />�; <br />" " <br />,� <br />11DDRESS 7S2% �=7'2.�e97 T�i2. TYPE `�«/li[E �ILzrv�f' L�� <br />�/ � �, <br />(1) BUILDING PERMIT FEE¢ y- 9�•� 5 �. .a <br />(A) PLAN CHECK FEE ia ' "' <br />(2) PLUMBINC Q� •Od " ' .'S-' <br />(3) MECHANICAL - � � „�1 <br />a �� <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDINC PERMIT ISSUANCE B• �t <br />(A) TO BE DETERMINED BY BLDC INSPECTOR INCH �3't <br />(B) EXIST. � ' WATER SERVICE, APPLICATION NO. ' ' �'� :� <br />(C) APPROX. LOCATION �'' <br />. ; �G <br />� :' <br />, , . � '� <br />� . . . .:: <br />CHART '�". <br />(5) DRIVEWAY PERMIT TO BE PAID pRIOR TO BUILDING PERMIT IS- �� ���///1^' "1��'��1 <br />! l I i(/_ YV V\ J�. �{��' . <br />SUANCE �FEET DRIVEWAY�TYPE) S <br />�t� , <br />; �. E �•i <br />, t;2i <br />(7) STATUS OF�ER CHARCCS: , '''� <br />' , '• , .��. <br />BOND �_ DISTRICT FOOTAGE i.i <br />� N. S. E, W , , � ., � . +�i. <br />NOTES ' ' ;:.ir <br />' •,;� �',,. <br />��.l.C� (�Gi r�- �� � • ,.. <br />C�,eo ii7/- 8 s' � :� <br />i�: _ <br />/�� c� /7`l.0� �.._ <br />;. <br />. S�ZG�K ¢ Z�r9� ,t.. <br />�:, <br />��.. <br />ip5s� �B� . �.:. <br />SEWER CONNECTION CHARCES <br />YEAR 87 TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />SEWER SERVICE <br />. -. <br />5 27m.oa <br />��D o a � <br />s � 20. ev <br />s ,3p< c9D <br />TRUCK S <br />LATERAL <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />5-84 <br />CHART_ <br />DATE <br />DATE <br />a <br />