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� <br /> , '� � _. <br /> BUILDING PERMIT iNFO1tMATION <br /> 5�,�� � � <br /> ADDRESS JZD .G I"Y�cG,II/�iP TYPE i <br /> (1) BUILDINC PERMIT FEE S'.�j �1v0• �� S Q32• S"a <br /> (A) PLAN CHECK FEE ���� <br /> (2) PLUMBING ZS• S�� <br /> (3) MECHANICAL � �� <br /> (4) WATER SERVICE TO BE PAID PRIOR 70 BUILDING PERMIT ISSUANCE � <br /> (A) TO 8E DETERMINED BY BLDG INSPECTOR INCH <br /> (B) EXIST. \NATER SERVICE, APPLICATiON NO. <br /> (C) APPROX. LOCATION 4 ,;, <br /> � :'� <br /> CHART ' � <br /> (5) DRIVE`tiAY PERMIT TO BE PAID PRIOR TO BUII.DING PERMIT IS- 20.�� <br /> � SUANCE FEET DRIVEWAY(TYPE) 1 <br /> S <br /> j (7) ST�TUS OF SEWER CHARCES: <br /> BOND � DISTRICT FOOTAGE <br /> N, 5, E, W <br /> NnTES <br /> S�-�3�/a� L,F�tLI Ty �� <br /> O� </7/-8S <br /> ' NZ D �s2-�� <br /> ' �� ¢ o 0 <br /> s��-� . <br /> SEWER CONNECTION CHARGES <br /> YE�1R �� TRUNK S �✓3O'�� <br /> LATER/►L 3��� �� <br /> TOTAL CONNECTION CHARGES S � z' S� � <br /> SEWER PERMIT FEE S 3� BU <br /> CATCH BASIN PERMIT FEE 3�8� <br /> TOTAL SEWER PEKMIT FEES s <br /> (7) MONTHLY SEWER CHARCES: <br /> SEWER CONSTRUCTION TRUCK s -- <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> INFO COMPILED BY: DATE <br /> _ DATE <br /> APPROVAL: <br /> s•ea <br /> ; ;.. . ., ; ; .. ;,. _ . <br /> , - ,,.. <br />