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i"� <br />BUILDING PERMIT INFORMATION <br />ADDRESS �22.L`? ���=% I ��� TYPE <br />(1) BUILDING PERMIT FEE $ �I�� <br />(A) PLAN CHECK FEE �3a � <br />(2) PLUMBING � � <br />�– <br />(3) MECHANICAL <br />(4) WATER SERVICE TO BE PAID PRIOR i0 BUILDING P�B, I`tISSUANCE � <br />(A) TO BE DETERMINED BY BLDG INSPECTOR � INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION <br />CHART <br />(5) DRIVEWAY PEK,'�11T TO BE PAID PRIOR TO BUILDING PERMIT IS- � <br />SUANCE FEET DRIVEWAY(TYPE) b �� � <br />S <br />(7) STATUS OF SEWER CHARGES: <br />BOND � DISTRICT FOOTAGE <br />NOTES <br />N, 5, E, W <br />l�J�� � �� � <br />�9P/1 -�-�1 I � <br />/_C�V�IJ <br />SEWER CONNECTION CHARGES <br />YEAR — TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />SEWER SERVICE <br />TRUCK S <br />LATERAL <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />CHART <br />DATE <br />DATE <br />. .. <br />. <br />.r <br />�� <br />..� <br />�• <br />_i <br />:i' � <br />