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� ' �'' . <br />.; B�UILDIIVG' PERMIT INFORMATION <br />e <br />;�.:�1DDRE55 �O3Z �/�2Td�c� /��1� ' TYPE �/�ULE ��M/tY Pt�. <br />(1) BUILDING PERAtIT FEE S/O� dQ�•�� 5_ �O3 .5C7 <br />'``�� " (A)' PLAN CHECK FEE , <br />._:..•. <br />�.. (2; ; UMBING � OD <br />(3) `-iECHANICAL 72^�D <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE ��%� <br />(A) TO BE DETERMINED BY BLDG INSPECTOR INCH <br />, (B) EXIST. WATER SERVICE, APPLICATION NO. <br />1, ,. (C) APPROX. LOCATION � <br />CHART <br />_. .(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />'+�� � SUANCE FEET DRIVEWAY (TYPE) S ZD. DD <br />� �. s <br />i��r;. . . <br />:+:! :.: ; <br />a; p) STATUS OF SEW'ER CHARCES: <br />�.�c,�. ,:, <br />BOND DISTRICT FOOTACE _ <br />• N, 5, E, W <br />``; <br />NOTES <br />..._.• 5�ac. U`n'�r�/ � <br />�.�__. _. b,¢O !/7/- 85 <br />�, <br />=: _-_i-_ �2 � 224•o c� <br />_.._ ; <br />._z.. <br />� SEWER CONNECTION CHARGES <br />',-. ` YEAR g 7 TRUNK <br />�'"�', LATERAL <br />kCf, t . <br />r•.��.,�• TOTAL CONNECTION CHARGES <br />;.,,::s:..i , <br />��'��� SEWER PERMIT FEE <br />:�; �«:.-.:�:-_. . <br />'aP.:�::._: _ . <br />, CATCH BASIN PERMIT FEE <br />' �_ __, . <br />_._.._ : _ TOTAL SEWER PERMIT FEES <br />~' (7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />. ....J�.;.' <br />_� 'a� <br />�r � ' <br />� / �. � <br />S <br />�.0� ::.�_ _ � <br />s �0'� <br />TRUCK S <br />LATERAL <br />' SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />` INFOCOMPILEDBY: <br />"'APPROVAL: <br />��� <br />CHART <br />DATE <br />DATE <br />.■ <br />