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.. . . . ......... <br />1 <br />�-., <br />± '•� <br />BUIC�[�ING PERMIT INFORMATION <br />. a . ,i� . �� i <br />/ � � <br />_y1DDRE55 �IE�Z �.,.�.s.� �l✓E TYP�i�-'✓ I ' I <br />y _ � gz s [o <br />. (1).BUILDING t'ERMIT FEE S I(�` �E% � . f7p, S3�g/I ''` ' � <br />(A) PLAN CFfECK FEE �5��� , a. �, � <br />: (2) PLUMBING �D �p� sb �� � <br />� (3) MECHANICAL lo0-OD ' ' <br />7 (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PE(� IT ISSUANCE -. <br />(A) i0 BE DETERMINED BY BLDG INSPECTOR �� �NCH ,,, �I <br />• (R) EXIST. WATER SERVICE, APPLICATION NO. "�; �C � <br />(C) APPROX. LOCATION ; ; <br />� ` i <br />� CHART ,, .� ;1 !: <br />(5) DRIVE�W,,�AY PERMIT�n+TO BE PAID PRIOR TO BUILDING PERMIT IS- �O.Q� , , v': ;, <br />FEET DRIVEWAY(TYPE) S j <br />$'UA�M(.SR� '`ii, s t <br />' � i — , <br />":.. � ; <br />(7) STAT ,I�OF SEWER CHARGES: � ; <br />�, <br />DISTRICT FOOTAGE <br />, BONf�:, N 5 E W � <br />:c;�`.\� ` '�'}�" �� <br />, `�,� NOTES <br />i ,:-- . . , � . <br />� <br />, ,. <br />, ;. <br />srtc�ec. c,��ttu.r{ �' <br />�►�� ll'1l-8S� <br />�fl Jb2�. CL5 <br />,io ! <br />'$�d!!IeNt _ 'EY' _, <br />! 2�,,� <br />� .:. <br />e <br />SEWER CONNECTION CHARGES <br />YEAR � �� TRUNK <br />LATERAL <br />TOTAL CONNECTION CH^RGES <br />l'q ` <br />♦ . � <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />..' � . TOTAL SEWER PERMIT FEES <br />.. V . <br />' (7) MONTHLY SEWER CHARCES: <br />�EWER CONSTRUCTION <br />S I� �D <br />�- <br />s �f�p.0o <br />TRUCK s <br />LATERAL <br />SEV1'ER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />-�� . <br />� ' .. : <br />'INFO COMPILED BY: <br />APPROVAL: <br />5•84 ' <br />. � � <br />CHART <br />DATE <br />DATE <br />