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BUSL� ING �'ERMIF INFORMATfON <br /> ADDRE�S ` '., �-� i ----- 1YPE -- <br /> (1) E3UILDING PERh11T FEE � g �, y �/ y(1 <br /> (A) PLAv CHECK FEE <br /> (2) PLUh1BI�JG <br /> (3) MECHANICAL <br /> ��� (a) WATER 5[RVICE TO BE PAID PRIOR TO BUILDING PLR��tIT ISSU�tv'CE �L'SP� <br /> tn�y (A) TO BE DETERh11N[D BY BLDG INSPECTOR -�'��/ �� INCH <br /> c�H (B) EXIST 1NATER SERVICE, APPLICATION NO <br /> aycn <br /> H �3 (Cl APPROX LOCATIOPJ _ <br /> y zH <br /> K O <br /> H� <br /> o� H� _CHART <br /> � z� (5) DRIVIi�NAI' PER�ti11T TO E3E PAID PRIOR TO 6UILDING PERMIT IS- �� <br /> � yb � SUANCE FEET DRIVE�NAI'(TYPE) � �G' <br /> � �g g <br /> �"�y � <br /> pl STATUS OF SE�ti'ER CHARGES <br /> r '�� E30ND DISTRICT _ �OOTAGE <br /> HH <br /> g ��H N, s. E. w <br /> � °�' NOTES <br /> ��� �_ � ,� � 171 SS � g 9� <br /> � . ,_�4e� 2z�1 <br /> , . � � s9 <br /> 1� �j <br /> —.„� <br /> �fWER CO�JNFCTION CHARGES <br /> (� �( YEAR TRUNK 5 l-' �Nn�� <br /> L.4T[RAL <br /> (^� i 1OTAL CONN[CTION CHARGES S _ <br /> i �� <br /> (i <br /> �+! ' SE�VER PERMIT FEE S �C� <br /> "� CATCH B�SIN PER1�11T FFE _ <br /> IUTAL SEV1'FR PI K��111 IE!_S � ___ _ '�.� � <br /> ��j <br /> (7) MONTHLY SE4bER CHARGI_ti <br /> SEWER CONSTf2Ut'il<)N TRUCk R _ <br /> ��� � ' L�T[RAL _ <br /> S[WER SERVICE <br /> . �PPROX LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> I N FO COMPI L E D BY: DATE <br /> APPROVAL DATE —_ <br />