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� <br />BUILDING <br />1 <br />PERMIT INFORMATION <br />ADDRESS I `� •'' I I � �l1'� '�'� ,� � � TYPE <br />(1) BUILDING PERMIT FEE s ��� <br />(A) PLAN CHECK FEE �� <br />(2) PLUMBING � <\ <br />(3) MECHANIGL ) � I (' ' <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMi T ISSUANCE �����'� <br />(A) TO BE DETERMINED BY BLDG INSPECTOR � INCH IlU <br />(B) EXIST. ' WATER SERVICE, APPLICATION NO. �G�� <br />(C1 APPROX. LOCATION <br />CHART <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SURNCE FEET DRIVEWAY(TYPE) S <br />S <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICT _ <br />NOTES <br />(o U �.i tS X �-I l �S <br />FO(�TAGE <br />N, 5, E, W <br />�� <br />1 I "i t-8S ��t ��� � <br />'' (?�I� 1$�—� <br />�� <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARCES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) h10NTHLY SEWE;t CHARGES: <br />SEWER CONSTRUCTION <br />TRUCK s <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />iNFO COMPILED BY: <br />APPROVAL: <br />.iev <br />CHART <br />DATE <br />DATE <br />