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�� � <br /> � BiJILDING PERMIT lNFORMATION <br /> , / acJ� TYPE�`''"[tc--� �rc�PtS <br /> ADDRESS � v«��c� - �pg,pc� <br /> (1) BUILDING PERMIT FEE �3,�QD•�-- � SZ (05 <br /> (A) PLAN CHECK FEE �� �� <br /> (2) PLUMBING Q� �-a <br /> (3) MECHANICAL �.O d <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT I55� INCH <br /> (A) TO BE DETERMINED BY E3LDG INSPECTOR <br /> (B) EXIST. WATER SERVICE. APPLICATION NO. <br /> (C) APPROX. LOCATION <br /> CHART <br /> (51 DRIVEWAY PERMIT TO BE PAID PRIOR TO BU��DRIVEWAY(TYPE) b �D, B U <br /> SUANCE FEET <br /> 3 <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND �_ DISTRICT F�. � .TAGE _ <br /> N, 5, E, W <br /> NOTES <br /> �pE�-1 !Jl_ LfT���'7'�'� <br /> t,2o /l7/- �5� <br /> �2a �224. � <br /> SEWER CONNECTION CHARGES �pT � <br /> Y'EAR �7 TRUNK 5 <br /> �no• � d-. <br /> L,4TERAL �'��_� <br /> TOTAL CONNECTION CHARGES $ �� <br /> b �vP.B'o <br /> SEWER PERMIT FEE ,� <br /> CATCH BA51N PERMIT FEE � �U <br /> TOTAL SEH'FR PERMIT �EES b ____--- <br /> (7) M�•��THLY SEWER CHARGES: TRUCK $ - <br /> SEWER CONSTRUCTION <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> DATE <br /> INFOCOMPILEDDI': DATE ___— <br /> APPROVl�L. <br /> s-s�: <br />