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I,4Y:� � � . �b V, <br /> I <br /> ��� <br /> [3UILDING PERMIT INFORMATION <br /> ADDRESS 4��,«� � �� AJP S.F_ TYPE <br /> (1) BUILDINC PERMIT FEE b �-�-- <br /> (A) PLAN CHECK FEE j/Z 9S �S — � �18 73 ' a' � <br /> (2) PLUMBING ���f5� � <br /> (3) MECHANICAL d-��� <br /> (4) WATER SERVICE TO !3E PAID PRIOR TO BUILDING PERMIT ISSUANCE �nSO � <br /> (A) TO BE DETF.RMINED 8Y HLDG INSPECTOR �'�� INCH <br /> (B) EXI51'. _ WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCA1 ION _ <br /> CHART <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILUING PERMIT IS• � <br /> SUANCE FEET DRIVEW�Y(TYPE) S /�ZD� <br /> E -- <br /> (7) STATUS OF SEWER CHARGES: <br /> E30ND �— DISTRICT FOOTAGE <br /> N, S, E, W <br /> NOTES <br /> O��l� �u,��P if1�- Ss5 : � �5� <br /> walr� � 79 °` <br /> Sewlr- 9 � / oc <br /> .____�L.� <br /> c 5 �� � <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK b � � � <br /> LATERAL •�� Do <br /> TOTAL CONNECTION CHARGES b � °� 5 0� <br /> S[WER PERMIT FEE b �Q--W <br /> CA1CH DASIN PERMIT FEE --5� <br /> TOTAL SEWER PERMIT FEES E -�-- <br /> (7) MONTHLY SLWER CHARGES <br /> SI:WER CONSTRUCTION TRUCK � E <br /> LATERnL <br /> 5f WER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> _ CHART <br /> INFO COMPILED [3Y: DATE _ <br /> APf'ROVAL: _ DATE <br /> rier ' ' <br />