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BUILDING PERMIT INFORMATIG?N <br /> ADDRESS 2��5 vlc�-'R.l�G�.''LreT ,O/.11��• TYPE� '� ¢"�� <br /> (1) BUIIDING PERMIT FEET'SO�� ---- $ — �� <br /> (A) PLAN CHECK FEE ��� <br /> (2) PLUMBING ,.Z. O� <br /> (3) MECHANICAL '(pO .00 <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR __ �NCH <br /> (B) EXIST WATER SERVICE, APPLICATION NO. - <br /> (C) APPROX. LOCATION <br /> CHART <br /> (5) DRIVEWAY PERh11T TO BE PAID PRIOR TO BUIL�DRIVEN"AY(TYPE) S G�• OD <br /> �UANCE FEET <br /> b <br /> (7) STATUS OF SEWER CHAKGES: <br /> E30PJD � DISTRICT _ FOOTA��E <br /> N, S, E, W <br /> NOTES <br /> s�a� u-ru.�r� �-- � <br /> 02o Lt�t-S5 <br /> �1yc� �-i24 •� <br /> SEWER CONNECTION CHARCES <br /> YEAR S� TRUNK 5 � � <br /> LATERAL 117I� y <br /> TOTAL CONNECTION CHARGES $ B�� � <br /> SEWER PERMIT FEE � --�5��� <br /> �- <br /> CATCH BASIN PERMIT FEE — �� , <br /> TOTAL SEWER PERMIT FEES $ <br /> (7J MONTHLY SEWER CHAKGE� $ <br /> SEWER CONSTRI 'TION 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 /> DATE <br /> APPROVAL <br /> 5-Ei� <br />