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Zs <br />cPARTlAENI GF C.UMMUivG' .,�.�t-�� �.•..... <br />IN�ORMATION <br />gU1LDIN� PERMIT <br />�Zs/ co A� %�o��EF-�-�. lJ.,E• rv _ G� ��c.cP�`=- <br />ADDRESS 314•(.09 __ <br />(1) BUILDINC PERMIT FEE �7�� 79�' � $ (�/. 35 'Du� <br />(A; PLAN CHECK FEE Q� ,� v <br />(2) PLUMBING �o. �ga <br />(3) MECHANICAL �j'1S. ��' <br />(4) N'ATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) <br />(B) <br />(C) <br />TO BE DE1 ERMINED BY f3LDG INSPECTOR <br />INCH <br />EXIST. WATER SERVICE, APPLICATION NO. _ <br />APPROX. LOCATION a� G' T' �'�� `'� �P�� �S F� <br />W op�.��,-+�1.uetiP-�IART �"SI <br />(5) DRIVEWAY PERMIT "O BE PAID PRIOR TO BUILDi'�G PERMIT IS- �� n <br />SUANCE FEET ��`-�`'`'�Y DRIVEWAY (TYPE) S <br />S — <br />(7) STATUS OF SE\b'ER CHARGES: FOOTAGE ��R'�x`' <br />BOND DISTRICT <br />N, 5, E, bV <br />NOTES <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIi FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHhRGES: TRUCK <br />SEWER CONSTRUCTION <br />LATERAL <br />S <br />S _ <br />S <br />S <br />b <br />_- - • <br />N1GT� <br />SEWER SERVICE L, �P�� � �� �� <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN �� MAIN:' �,r ��CO4 �� — <br />=�G �S I iJ M 0 c� 'e'v�°�t4x CHART 2- f 4- L4- S <br />ti.rk 2lct�. 5T � ��.. ..,�� _-- <br />INFO COMPILED BY: <br />APPROVAL: <br />9 b79 <br />_ DATE <br />_ DATE <br />