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<br /> ' ' BUILDING PE'RMIT� INFORMATICs►N � :;;�.. ; �. � ; �
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<br /> � TYPE 5���—J�— , �t
<br /> �':: 11DDRESS �� $IT-OD � K:
<br /> _.�(1) BUILDINC PERMIT FEE �✓ '%1 0� f , ',
<br /> (A) PLAN CtiIiECK FEE �O� ��.
<br /> (2) PLUMBING
<br /> � i''.
<br /> �.' !(3) MECHANICAL � � —
<br /> (4) WATER SERVICE TO BE FAID PRIOR TO BUILDINC PERMIT ISSUANCE ��D °,
<br /> � INCH '
<br /> (A) TO BE DETERMINED BY BLDG INSPECTOR i,
<br /> (B) EXIST. WATER SERVICE, APPLICATION NO. ,� �:
<br /> �' MA�u dWPpO►� 28F�T W �"
<br /> '. (C) APPROX. LOCATION �,
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<br /> p� �i.01� W�1Jl�V.C7K. �HART Y9'Z 8�2'��"-�.r
<br /> i;
<br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- �a(� ;r
<br /> FEET DRIVEWAY(TYPE) 5 r� '
<br /> • SUANCE '�
<br /> •�� :, - S '
<br /> '_.,,�::a . � �?�,
<br /> :�� . Y;
<br /> :,�.,(i) STATUS OF SEWER CHARGES: ��
<br /> �
<br /> ` �� BOWD DISTRICT FOOTAGE ;,
<br /> ` �'� � N S E W ;:
<br /> F.
<br /> �
<br /> NOTES �`
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<br /> __ L�.yv l52 •� u � .. � `�`,
<br /> _ .. 5�c�lJ2 �',Op . oo , .
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<br /> - Sr2' �.c� - 1 �
<br /> C�`,� SEWER CONNECTION CHARGES r;
<br /> �?� YEAR TRUNK S �`
<br /> S�f LATERAL , �;;
<br /> �- TOTAL CONNECTION CHARGES s C,
<br /> I;:
<br /> ��� _, , ..,.. r:..�. 'ti• . : ;`s
<br /> .5•;�r: ��». r' •
<br /> - _ SEWER PERMIT FEE s ���� �5
<br /> CATCH BASIN PERMIT,FEE ��,Dv `'
<br /> �'��',' TOTAL SEWER PERMIT FEES s �'
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<br /> ;r
<br /> p) MONTHLY SEWER CHARGES: ,?
<br /> SEWER CONSTRUCTION TRUCK s F;
<br /> �N
<br /> LATE RAL ��
<br /> , �
<br /> _ �:,
<br /> SEWER SERVICE '�
<br /> y�.
<br /> .::�PPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: 8� �►v � DO` A��`'`� �� �.
<br /> . p �85 F� i.l. e� M.4�.�f n�+�! �
<br /> :ka �, :'�tY3� ". ". . CHART Y 8•24-5•
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<br /> � `-,-• � . I;
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<br /> C'�`c =; DNTE ;;
<br /> I�FO COMPILED BY: _
<br /> DATE `�
<br /> APPROVAL: `
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