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� , A \ / <br /> �� `.J <br /> BUILQI�JG PERMIT INF'G�RMA710�1 <br /> AGDRESS <br /> �.,, �r vt �.ti �J�z. TYPE 5�.��u.G t��u�'r C.t.S <br /> (1) BUILDING PERM�T F[E �Z�jD�O•�� b _ �� ��'�� <br /> l Od-. UQj <br /> (A) PLAN CHECK FEE (y S. e0 <br /> (2) PLUMBING � p <br /> (3) MECHANICAL �. On <br /> (4) WA7ER SERVICE TO BE PAI'� PRIOR TO BUILDING PER�IT ISSU NCH <br /> (A) TO fiE DETERMINED B' BLDG INSPECTOR ._�� <br /> (B) EXISi. WATER SEk:'ICE, APPLICATION NO. __ <br /> (C) APPROX. LOCATION �� ^"` `'-� �'�� �'� p`r Y._ D� <br /> �s. ° �� --CHART V- 32-24-5� <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BU��DRIVEWAY(TYPE) 3 ��'�� <br /> SUANCE _---FEET <br /> 5 <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND �' DISTRICT FGOTAGE <br /> N, 5, E, vV <br /> NOTES <br /> -�,a�. Sea.t��S <br /> c5/1,o !l7l- B 5 � <br /> 5.�R� 3�00'� <br /> �_Z p � 2 2.� , <br /> -�'..�-taur�2 �-�Sy � <br /> � �' � � SEWER CONNECTION CHARGES <br /> YE/�R ��P ._TRUNK 3 Z�p� �C� <br /> S� . Bo <br /> L��7ERAL <br /> TUTAL CONNECTION CHP.RGES b �"Z� ��U <br /> 3m, e o <br /> SEWER PERMIT FEE $ ---_--'— <br /> CATCH BASIN PERMIT FEE 3� � <br /> TOTAL SEWER PERMIT FEES $ —�— <br /> (7) MONTHLY SEWER CHARGES: b <br /> SEWER CONSTRUCTION TRUCK . , <br /> LATERAL � <br /> SE4YER SERVICE Zd � <br /> nPPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> $" I•,Ln«J ' w�oo9x <br /> �.P ott � �W - tr+� -rt� co¢. �-n'�-�z.�c. <br /> CHART ���2-Z�'S/ <br /> INFO COMPILED BY: _ DATE — <br /> DATE <br /> APPROVnL: <br /> s aa 'L`ld"-r`�E3 <br />