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BUILDING PERMIT INFORMATION <br />ADDRESS �c�nJ >' C�5)_Cl / 11 i� TYPE <br />(1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDG INSPECTOR: INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO-_ <br />(C) APPROX. LOCATION <br />$ <br />CHART ___ <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE FEET DRIVEWAY(TYPE) $ <br />$ <br />(7) STATUS OF SEWER CHARGES <br />BOND DISTRICT FOOTAGE <br />N, S, E, W <br />NOTES <br /><� <br />1R5o <br />i <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK $ Ci $ <br />LATERAL <br />TOTAL CONNECTION CHARGES $ <br />co <br />SEWER PFk,,11T FEE $ ILL <br />CATCH BASIN PERMIT FEE o <br />TOTAL SEWER PERMIT FEES $ <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION TRUCK $ <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />CHART <br />INFO COMPILED BY: DATE <br />APPROVAL: DATE <br />71B1 <br />