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� �' <br /> BUILDING PERMIT INFORMATION <br /> ADDRESS �o r n a�,�rrT,n,, ,. ,/�_,.. TYPE <br /> (1) BUILDING PERMIT FEE b a Z/ • S(7 <br /> (A) PLAN CHECK FEE `{C3 • 4 7 — � � �' � � ��' z� <br /> (2) PLUMBING �G- �CL <br /> (3) MECHANICAL ��`��� <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE 7 SSZ�' <br /> (A) TO BE DETFRMINED BY BLDG INSPECTOR � �� INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION <br /> CHART <br /> I' (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO k3UILDING PERMIT IS- <br /> SUANCE FEET DRIVEWAY(TYPE) 3 aZD� � <br /> S <br /> (7) STATUS OF S�ER CHARGES: <br /> BOND � DISTRICT FOOTAGE <br /> '� N, S. E, W <br /> NOTES S� <br /> �� � <br /> ' G,r�v� 1 I 7� -�"S <br /> G�.u.�Q.¢�c 9�/ t� � �r`e��2ic� 51 rvi � � � � <br /> �aaa c�e�-#- SS Z <br /> � D�D�C{1u-''�� Ca.�n�. � -2G- 7S <br /> '�va�e,r (pQ, ! 7 � <br /> �ec�..(�,� ,����� SEWER CONNECTION CHARGES <br /> -- YEAR TRUNK �5 <br /> 3 R �:DO LATERAL ✓ <br /> TOTAL CONNECTION CHARGES � <br /> SEWER PERMIT FEE <br /> S fd �. <br /> CATCH BASIN PERMIT FEE /j <br /> TOTAL SEWER PERMIT FtES b --/6� <br /> (�) MONTHLY SEWER CHAFGES: <br /> SEWER CONSTRUCTION TRUCK b — <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX LOCATION OF SIDE SEWER OR TEE IN THE MAIN: _ <br /> CHART <br /> INFOCOMPILED RY DATE <br /> DATE <br /> APPROVAL. _-- -- <br /> ,�az <br />