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�'. <br />,- ��. <br />i� <br />BUILDING PERMIT INFORMATION <br />ADDRESS -.�--�''= � � � rnl ���I�� �,�—TYI'E <br />(1) BUILDING PERMIT FEE <br />(q) pLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(q) WATER SERVICE TO BE PAID PRIOR TO BUILDING P Mlµ ISSUANCH <br />(q) TO BE DETERMINED BY k�LDG INSPEC70R ��.-- <br />(B) EXIST. WATER SERVICE, APPLICATION NO. —.-- <br />(C) APPROX. LOCATION _ <br />CHART - <br />(5) DRIVEWAY !'ERMIT TO BE PAID P`:IOR TO 6UILDING PERMIT IS- �= <br />SUANCE FEET URIVEWAY(TYPE) S _ <br />b - <br />(7) STATUS UF-S�E{W�ER CHARGES: ,����TAGE <br />gOND �1�-�ISTRICT W <br />N, 5, E, <br />NO1 ES <br />SEWER CONNECTIVN CHARGES ���en <br />TRUi�K E �-�— <br />YEAR �,��T_ <br />LATERAL f7 2_ <br />TOTAL CONNECTION CHARGES b -� <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />TRUCK s <br />LATERAL <br />� SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />rier <br />CHART <br />DATE <br />DATE <br />..... ... . . ... .. - <br />� •- <br />_.....r...... .,....... ... ..� �:—,:.'. ' �'� <br />