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� <br />r <br />BUILDING PERMIT INFORMATION <br />ADDRESS TYPE�ua� <br />(1) BUILDING PERMIT FEE ��� ?�.� E 4��'�D __ <br />(A) PLAN CHECK FEE p�'� 8��� <br />(2) PLUMBING 9O�DO <br />(3) �`v1ECHANICAL 57'� <br />(4) VNf.TER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE SI�D•!J� <br />(A) TO BE DETERMINED BY BLDG INSPECTOR � INCH <br />(B) EXIST. WATER SERVi� :, APPLICATION NO. <br />(C) APPROX. LOCATION <br />CNART <br />(5) DRIVEWAY PERIvi,T TO BE PAID PRIOR TO BUILDING PERMIT IS- 2m�� <br />SUANCE FEET DRIVEWAY(TYPE) S <br />5 <br />(7) STATUS OF SEWER CHARGES: <br />BOND 2 D!STRICT FOOTAGE «� <br />� S� W <br />NOTES <br />�r.tQc., u-Tti�rT�{ �� <br />t.�¢�o tl7t-B�S - <br />�IyO ��Ltol.� <br />tf�('� ��� <br />Z.� -- <br />SEWER CONNECTION CHARGES ��5�2� ` <br />YEAR �7i TRUNK S <br />LATERAL 78�' U� <br />TOTAL CONNECTION CHARGES S 4�'�'g <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SFWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />TRUCK S <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCA fION OF SIDE SEWER OR TF.E IN THE MAIN. <br />INFO COMPIL�D BY: <br />APPROVAL: <br />s�sa <br />CHART <br />DATE <br />DATE <br />