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� <br /> � <br /> � BUILDING PERMIT INFORMATION <br /> � <br /> i <br /> � ADDRESS ���3 QG/� VIL�W �/�NE TYPE ���tC� M/W : <br /> (1) BUILDINC PERMIT FEE �D�O�. S •• <br /> � (A) PLAN CHECK FEE � �� • ��� <br /> I (2) PLUMBINC � 1'� <br /> i� (3) MECHANICAL - Z'�'b' <br /> � (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE , �O�Ba . <br /> � (A) TO BE DETERMINED BY BLDG INSPECTOR INCH <br /> I <br /> (8) EXIST. WnTER 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) i ���Ov <br /> S <br /> (7) STATUS OF SEWER CH^RCES: <br /> BOND � DISTRICT FOOTAGE <br /> N S E W . <br /> NOTES <br /> S��� I.l`tTL,t'r*� �,�' <br /> Ca¢d /7l- gs-- <br /> �� D �22�• °b <br /> SEWER CONNECTION CH^RGES <br /> YEAR S� TRUNK f ��'� <br /> L�TERAL S�+Z <br /> TOTAL CONNECTION CHARGES S �� ����� <br /> SEWER PERMIT FEE S �•�� - <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES S �• <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK s <br /> LATERAL <br /> SEWER SERVICE <br /> �PPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> INFO COMPILED BY: DATE <br /> APPROVAL: DATE <br /> i <br /> s ea <br />