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�. <br />BUILDING i'ERMIT INFORMATION <br />ADDRESS =��Z1 C�1� �►')'c„�le €�1 i�� TYPE <br />(1) BUILDING PERMIT fEE b �� <br />O <br />(A) PLAN CHECK FEE — <br />(2) PLUMBING <br />/ <br />(3) MECHANICAL <br />(4) WATER SERVICF TO BE PAID PRIOR TO BUILDING PER�MlIIT'�ISkSUANCE — <br />(A) TO BE DETERMINED BY BLDG INSPECTOR � INCH �� d <br />(B) EXIST. . WATER SERVICE, APPLICATION NO. ��� <br />(C) APPROX. LOCATION <br />CHART <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- � <br />SUANCE FEET DRIVEWAY(TYPE) 3 �—' <br />b <br />(7) STATUS OF SEWER CHARGES: <br />BOND � DISTRICT FOOTAGE <br />NOTES <br />1 l'11-$`� <br />N, S, E, W <br />�� <br />� �� - <br />... <br />�/ ' �� <br />` �. <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAI_ 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 />yJ <br />� <br />• ��� <br />.i <br />_� <br />u'y <br />� � <br />TRUCK s <br />LATERAL <br />APPROX LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />vA, <br />�HART <br />DATE <br />DATE <br />