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� � <br /> BUILDING PERMIT INFORMATION <br /> �� �.-� rr <br /> nDDRESS � � � �� ! '� T --' ""` �`"< TYPE _ <br /> (1) BUILDING PERMIT FEE s <br /> (/1) PLAN CHECK FEE <br /> (2) PLUMBING — <br /> (3) MECHnNIC/1L <br /> (4) WATER SERVICE TO BE PAID PRIUR 7C BUILD�NG PERMIT ISSUANCE <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION — <br /> CHART <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE _FEET _ _ DRIVEWAY(TYPE) S <br /> S � <br /> (7) ST/1TU5 OF SEWER CHARGES: � <br /> gphp __ DISTRICT _ FOOTAGE -- + <br /> N, S, E, W � <br /> NOTES <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK S <br /> LATERAL � <br /> TOTAL CONNECTIUN CHARGES s I <br /> , <br /> 1 <br /> SEWER PERMIT FEE s � <br /> t. <br /> CATCH 6ASIN PERMIT FEE <br /> TOTAL SEWER PERM�T FEES s <br /> (7) MONTHLY SEWEr� CHARGES: <br /> SEWER CONSTRUCTION TRUCK s <br /> LATERAL <br /> SEWER SERVICE <br /> �PPROX LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> INFOCOMPILEDEIY: _ DATE <br /> DATE <br /> APPROVAL. — <br /> ,�a, <br />