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<"> <br />� <br />BUILDING PERMIT INFORMATION <br />ADDRE55 � �" <br />�Z� % ��� S (. TYPE Srr.�uc.6 �r��u�r �t.'� <br />(1) BUILDING PERMIT FEE s(s I, O�' �'� 3 �SY�-• � <br />(A) PLAN CHECK FEE ��'S`� <br />(2) PLUMBINC SO •�O <br />(3) MECHANICAL �"g�sa <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE `��' �� <br />(A) TO BE UETERMINED BY BLDG INSPECTOR _ � INCH <br />(B) EXIST. _ WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION �o� �1A� i, /��'/''L�K �5 F` G <br />O� � OF �ZIII� CHART G- 8- 28 L-� <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE <br />FEET <br />(7) STATUS JF SEWER CHARGES: <br />BOND �DISTRICT <br />NOTES <br />< <',"_T.i� �C.� 'J -.--� r..� � -. r� '-'i���.. .._ <br />l <br />O,Q/.� //%�" �S_ <br />�IZ D �-�q, c90 <br />!�- C-�u.Lc?'i t�% ( • O(� <br />7(o°SO.� <br />DRIVEWAY(TYPE) 3 <br />b <br />FOOTAGE <br />N, S, E, W <br />SEWER CONNECTION CHARCES <br />YEAR � �� TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT fEES <br />(7) MONTHLY SEWER CHARCES: <br />SEWER CONSTRUCTION <br />2 0. 0 �� <br />� 2�0. Oc� <br />¢5'v, Oo <br />3 - <br />TRUCK S <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: ��� M�r i 1 �nr�c;�r ck.,�,� <br />�^t I �"JJ C�'_tcJJ <` 'n-� � � I iaf� �IL1.�P i l.. pY A�.i ��J-�' --t' p <br />t.f � �.•�n �^�� (� z�� L.Ni'i!_Ox � �7 �-t pry(' CHART �-8'28-5�' <br />INFOCOMPILED BY: <br />APPROVAL: <br />5 84 <br />DATE <br />DATE <br />m <br />