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.. 1 _ 1 <br />��.._! ��..� <br />BUILDING PERMIT INFORMATION <br />ADDRESS ��� ��""" �� TYPE <br />(1) BUILDINC PERMIT FEE <br />5 �,�� � <br />(A) PLAN CHECK FEE � <br />(2) PLUMBING 33� <br />(3) MECHANICAL / � <br />(4) WATER SERVICE T7 BE PAID PRIOR TO BUILDING PERMIT ISSUANCE � <br />(A) TO BE DETERMINED BY BLDG INSPECTOR �� INCH l'� � <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATIO�' <br />CHART <br />(5) DRIVEWi\Y PERMIT TO B[ PAID PRIOR TO BUILDING PERMIT IS• � <br />SUANCE FEET DRIVEWAY(TYPE) S �� <br />S <br />(7) STATUS OF SEWER CHARGES: <br />BOND ?% CISTRICT <br />NOTES <br />� <br />• �, _� <br />rii <br />,.!':,�i� <br />�:�;.0 I �,� <br />:, � n � <br />�:v'!��f �Ili' 1..� <br />FOOTAGE <br />N. S. E. W <br />0 <br />SEWER CONNECTION CHARGES �p <br />YEAR TRUNK 5 ���� <br />LATERAL <br />TOTAL CONNCCTION CHARGES 5 t�.7� �_ <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />S �0 � <br />3 ��.a( 1—= <br />TRUCK � <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />I NFO COMPI LE D BY: <br />APPROVAL: <br />nev <br />CHART <br />DATE _ <br />DATE _ <br />