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1 <br /> � �iN� <br /> BUILDIPIG PERMIT INF�JRMATION <br /> ��H q <br /> �� Zb'll 11'/ Pt�n.ra lOJ TYPE <br /> yy ' ADDRESS �.� <br /> y�� (1) BUILDING PERMIT FEE � �;Q �{.So <br /> ��� (A) PLAN CHECK FEE 3��•`l3 — 3l3� �{U 73• �3 <br /> y (2) PLUMBING yS' Q� <br /> ��� (3) MECHANICAL �y`�� � '� <br /> �H C (4) WATER SERVICE TO F3E PAID PRIOR TO 9UILDING PERMIT ISSUANCE Lf� SO � <br /> .�°.��g (A) TO BE DETERMINED BY [3LDG INSPECTOR � �� INCH <br /> c�. o <br /> x�„� (B) EXIST. WATER SE,P,VICE, APPLICATION NO. <br /> �y� (C) APPROX. LOCATION <br /> ti y <br /> gy <br /> � <br /> n�y CFiART <br /> �;�i (5) DRIVE�VAY PERMIT TO BE PAID PRIOR TC BUILDING PERMIT IS- <br /> y� "" SUANCE FEET DRIVEWAY(TYPE) 3 z�% � <br /> a <br /> (7) STATUS OF SEWER CHARGES: <br /> 40ND DISTRICT FOOiAGE <br /> N, 5, E, W <br /> NOTES � <br /> 117/ -s�' � � <br /> 179 <br /> ��a <br /> Sp, <br /> i'1 <br /> 1_I <br /> a ' SEWER CONNECTION CHARGES �/�-(,t -�r� <br /> '�1 YEAR TRUNK S <br /> LATERAL <br /> ��� TOTAL CONNECTION CHARGES E _ <br /> I�� SEWER PERMIT FEE � �G `c <br /> '� CATCH BASIN PERMIT FEE <br /> � TOTAL SEWER PERMIT FEES s �C c�_ <br /> ' (7) MONTtiLY S[WER CHARGES: <br /> �I SEWER CONSTRUCTION TRUCK s <br /> �' LATERAL <br /> SEWER SERVICE <br /> APPROX. LOC�TION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> INFO COMPILED 8Y: DATE <br /> APPROVAL: DATE <br /> uer ' <br />