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<br /> ' `" ` BUILDING PER`MIT� INFORMATION . , """�'
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<br /> <ADDRE55 TYPE
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<br /> ,_(1.) ,BUILDING PERMIT FEE •�1QQ°�- flttdo�' 35G•�0 = S S
<br /> ,:�. (A) ,PL/1N CHECK FEE 9a� � - S�a ?-S G-lp(.t�. �'34�20 ��.,��. �
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<br /> '(3) MECHANICAL � �" � • � � /� c � �:. �
<br /> ..(4j W�TER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE _s¢�i '� ._._. �
<br /> ` (A) TO BE DETERMINED BY BLDG INSPECTOR 3�� INCH __ :_
<br /> -'� (B) EXIST. WATER SERVICE, APPLICATION NO. ,
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<br /> � - (C) 11PPROX. LOCATIUtd '` ,�
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<br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS-
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<br /> "(7) STATUS OF SEW, �ER 1CHARCES:
<br /> � BOND /Ill^T.I�j�DISTRICT �FOOTAGE
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<br /> ';�� � ' NOTES , ,...
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<br /> SEWER CONNECTION CHARGES �.
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<br /> LATERAL
<br /> *`"�"' TOT11L CONNECTION CHARGES S � �
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<br /> ''a:";"'+ SEWER PERMIT FEE S ���
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<br /> -: ` CATCH B�151N PERMIT FEE
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<br /> TOTAL SEWER PERMIT FEES s "
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<br /> .�(7)�MONTHLY SEWER CHARGES: � �
<br /> '+"��"`"' ' $EWER CONSTRUCTION TRUCK S , ,,, ,
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<br /> � �� SEWER SERVICE ' � r
<br /> ���FFROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: f
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<br /> <i1I�N,fO.COMPILED BY: D11TE
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<br /> `{C,�PPROVAL: D�1TE
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