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I'OR C:f'C1' UtiE OidLY <br />ENGINliliRING AND COPI[dUfdITY SERVICPS <br />BOILDING P�IL`4IT INL�OItT111TI0N <br />I�DDRESS J� Z � �/IU�fLr7f� �x_uo TYP� `� /'L <br />1) IIUILDING PER:9I'i' rE� /�,���• �+� $ �1�, �U <br />(A) PLAtJ CEI�CK P'EE $ �¢• VO <br />2) PLUMBING $ � d� <br />3; MECIiAtdIC�L $ <br />4) ['�71TER SE?tVICE TO BG P1\ID BEL'f.t� IIUILDING <br />PliR�tIT IS ISSUPD � $ <br />(A) TO IIE DL'TERMIN�D IIY PLIIG. INSP. INCIi <br />(R1 �XIST. IQ11T�R S�RVIC�, APPL. N0. <br />(C) '�P?'ROX. LOCnTIOid <br />C3IART <br />5) DRIVE[•]AY PERPIIT TO II� PAID BEPORE BUILDING <br />P�RDIIT IS ISSU�D PT. D/4i (TYPE) <br />6) STATUS OP SE[�ER CI{IaRGES: TO'PI�L <br />BOND DISTRICT POOTAGE <br />7 ) "10NTHLY SE[9ER CHARGL•'S : <br />Sli[VER CONSTRUCTION: <br />N, S, Er Pl. <br />SEf4ER CONN�CTION CIIIIRGFS <br />yrpR TRiNK S <br />LAT�Rr1L $ <br />TOTAL CONPI�CTION CIII�RG�$ <br />S�T';TR PI3R}1IT F�P�, S <br />Ct1TCII BASIN PE12[�lIT I'EE $ <br />TOT1�L SPI•1ER PERPQIT PEPS$ <br />TRONK <br />LAT�RAL <br />S�`9ER SL•:RVIC� <br />APPRUX. LOC7ITION 0!' SIDli ,�'iL•''JE'_t OR TEE IN TIIP MAIN: <br />IIdPO CQ�1P.iLED T3Y: <br />APPROVt1L: <br />m <br />C[]ART <br />D11T� <br />DA'Pli <br />$ <br />$ <br />S <br />