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�,�t''T. �/ <br />BUILDING PERMlT INFORMATION <br />ADDRE55 5�0� NA��'� ��• TYI'E��f GE C� <br />(1) BUILDING PERMIT FEE#8$�Q:�'� s PQ � 8��� <br />(A; PLAN CHECK FEE <br />(2) PLUMBING 7?� � <br />(3) M[CHANICAL ��� <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT SSUANCE �A'� <br />(A) TO BE DETERf��INED BY BLDG INSPECTOR INCH <br />(B} EXIST. WATER SER'JICE, APPLICATION NO. <br />(C) APPROX. LOCATION <br />� • �� ,.. <br />CHART <br />(5) DRIVEWAY PERMIT TO BE PAIu PRIOR TO BUILDING PERMIT IS- 2D�v <br />SUANCE FEET DRIVEWAY(TYPE) S <br />S <br />; (7) ST/�TUS OF SEWER CHARGES: <br />BOND a OISTRICT <br />NOTES <br />�A'L �i/%%�.�1 �� <br />�.,o i/'1/-$� � <br />i�y o * 22�• � <br />.-. <br />FOOTAG E <br />N, 5, E, W <br />, , .,s <br />; <br />SEWER CONN�T�N CHARCES <br />YEAR � TRUNK <br />LATERAL , <br />TOTAL CONNECTION CHARGES <br />02�:: . -;�_ ,� �, , , �., , <br />SEWER PERMIT FEE <br />��� CATCH BASIN PERMIj,FEE <br />_-.- TOTAL SEWER PERMIT'FEES <br />C�OA.�• <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />� <br />, <br />f •�o�ri c�+C*- <br />�9M�. <br />s � ��'"8s' <br />TRUCK s <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />/�. � .. . � . � . <br />C� • <br />�" Y•� �' <br />INFO COMPILED BY: <br />APPROVAL: <br />s•aa <br />, .� ,�,• . • <br />CHART <br />DATE <br />DATE <br />� <br />� r .� i <br />r �� <br />•.S <br />� <br />