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� � <br /> [iU1LDING PERMIT INFORMATION <br /> ADDRESS a�� ��r� TYPE <br /> (1) BUILDING PERMIT FEE s �- <br /> (A) PL/1N CHECK FEE <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSU1INCE <br /> (A) TO BE DE iERMINED BY BLDG INSPECTOR � �� INCH � ��� <br /> (B) EXIST. WATER SERVICE, �PPLICATION NO. I� � <br /> (C) APPROX. I.00ATION <br /> CHnRT <br /> (5) DRIVEWAY PERh11T TO BE PAID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE FEET DRIVEWAY(TYPE) S <br /> ; <br /> S <br /> ( <br /> ' (7) STATUS OF SEWER CHARGES: a ` �',�,� <br /> � BONO DISTRICT i�—FOOTAGE <br /> � N 5 E VY <br /> NOTES <br /> cr�d i� �-I �=�'LS �1 x 5 i � _ � 8 = <br /> ► �-, �-g� n <br /> � �r�x �� � �- <br /> � <br /> ��- ��q� <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK S <br /> I UTERAL <br /> TOTAL CONNECTION CHARGES s — <br /> � <br /> SEWER PERMIT FEE ; <br /> CATCH BASIN PERMIT FEE �� <br /> TOTAL SEWER PERMIT FEES s <br /> p) MONTHLY SEWER CHARGES: s <br /> SEWER CONSTRUCTION TRUCK <br /> LATERAL <br /> SEH'ER SERVICE <br /> APPROX LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> INFO COMPILED BY: D/�TE <br /> DATE <br /> 11PPROVAL: <br /> ner <br />