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� <br />�� <br />BUILDING PERMIT INFORMATION <br />�DDRESS (3 w M�wwrv Qv� TYPE �`i4�� �� C� <br />(1) BUILDING PERMIT FEE �-I�C9�ii'� S 2d'�•5Q <br />(A) PLAN CHECK FEE QQ.ZS flut� <br />(2) PLUMBING 2� • ba <br />(3) MECHANICAL 22��� <br />(4) W11TER SERVICE TO BE f'AID PRIOR TO BUILDING PERMIT ISSUANCE u�� 4 <br />(A) TO BE DE7ERMINEn BY BLDG INSPECTOR��—�NCH wp,��G <br />(B) EXIST. WATER SERVICE. APPLICATION NO. <br />(C) APPROX. LOCATION �r ���� bpoGB" �� f`T S <br />ar � dr Me¢uX�u �Lt� CHART T' �3� ���` <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE FEET DRIVEWAY(TYPE) S �'�� <br />S <br />p) STATUS OF SEWER CHARCES: <br />BOND � DISTRICT FOOTACE <br />N, S, E, W <br />NOTES <br />� � <br />llZl�— <br />O lZ�t. � <br />, e�.1, . t96 <br /># ( O-Be <br />SEWER CONNECTION CHARGES <br />YEAR S�P TRUNK <br />LATERAL <br />TOTAL CONNECTtON CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGcS: <br />SEWER CONSTRUCTION <br />, � J I <br />� ' <br />� Y � <br />TRUCK s <br />. • LATERAL <br />SEWEF SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: 8�� �p"`� �����` ¢`' <br />INFO COMPILED BY: <br />APPROVAL: <br />s�ea <br />CHART <br />DATE <br />DATE <br />l <br />