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� '�� <br /> ; `:.i - <br /> � � BUILDING PERMIT INFORMATION <br /> I ; <br /> ' : ADDRESS .��C� �PL'��v """ E TYPE J/A,/UL� �/GY cet <br /> � (1) BUILDING PERMIT FEF. IOZ, OBd• �� b ���, ¢���� <br /> i (AJ PLAN CHECK FEE -����� <br /> � (2) PLUMBING --y,7.Z� <br /> i (3) MECHANICAL - <br /> � (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERM�I,T� ISSUANCE �`�D"d �' <br /> � (A) TO BE DETERMINED BY BLDG INSPECTOR �,�— INCH <br /> ��+� <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> � , (C) APPROX. LOCATION - �`. <br /> � . - CHART <br /> � <br /> � . (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- �,D � <br /> � • SCANCE FEET DRIVEWAY(fYPE) S <br /> � ' 3 <br /> a <br /> i <br /> i (7) STATUS OF SEWER CHARGES: <br /> ; BOND � DISTRICT FOOTAGE <br /> � •; � N, S, E, W <br /> NOTF.S <br /> � <br /> � _. _. '��l.�l. uTYG rn' �p.� ; ' ' <br /> '1 0/l�0 !�7l-8 b— ' <br /> „ __ oa <br /> � __ ./� 'p 22c1 • - <br /> , y � . _ <br /> � �_' . �twe�L' #a�a ' ' ; _ <br /> � '� ' ' - <br /> � w�y.-, _ ,.�� -; - <br /> �-`�-- , _:::w \�_ <br /> �t�^j. ___„� ; • SEWER CONNECTION CHARCES '� '�__ <br /> 2�� _o��'' �`" 1_ . <br /> � :I `f`1 ...�� � lEAR S�T TRUNK S � _. . <br /> � � ' . � LATERAL 4� <br /> Y .�= - TOTAL CONNECTION CHARGES S T2�-U"0 ' ' <br /> SEWER PERMIT FEE S 3�•e� <br /> j CATCH BASIN PERMIT FEE � <br /> TOTAL SEWER PERMIT FEES S 3�'Ba <br /> G <br /> i (7) MONTHLY SEWER CHAEGES: <br /> � SEWER CONSTRUCTION TRUCK a <br /> �J LATERAL <br /> a <br /> } SEWER SERVICE � <br /> � - <br /> •I APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> i _ <br /> ,� _ .. CHART <br /> :� :._.: <br /> � DATE <br /> � �'"INFOCOMPILED BY: <br /> � . 'APPROVAL: DATE <br /> ,� <br /> 3 <br /> J _ <br /> + <br /> 1 <br /> rier <br /> ��-�v - ��. - ^-:•',Y'n, . - - - .� ' <br />